Lisa Diane Stinson, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

858 Issued in NE

Practice address

109 E 2ND St
Suite 11
North Platte, NE 69101-5474

Phone

(308) 660-9602

Fax

(855) 710-7722

NPI assigned

Dec 20, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lisa D. Stinson, PH.D., LLC

  • Community/Behavioral Health Agency
  • Colorado Springs, CO
  • NPI 1407125818
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1043374572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 E 2ND ST",
            "address_2": "SUITE 11",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015474",
            "telephone_number": "308-660-9602",
            "fax_number": "855-710-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E 2ND ST",
            "address_2": "SUITE 11",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "691015474",
            "telephone_number": "308-660-9602",
            "fax_number": "855-710-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STINSON",
        "first_name": "LISA",
        "middle_name": "DIANE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NE",
            "license": "858",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "3272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Stethem
• Steven R Hinze, DDS, PC
• Sherri Lynn Stewart, PTA
• Corby Ryan Stickelman, ATC, CSCS
• Blakeley Stieben
• Lisa Elizabeth Stoll, PA-C
• Miranda Ellen Stoll, LMHP, PLADC
• Deanna C Storm
• John B Striebel, PSY.D.
• Heather Marie Stringham

• All providers in North Platte, NE
• Clinical Psychologist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.