Individual provider Active NPI

Lisa Mensch, MD

  • Psychiatry Physician
  • Hampton, VA
National Provider Identifier
1063543957
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101231788 Issued in VA
Practice address
200 Medical Dr
Hampton, VA 23666-1763
Phone
(757) 788-0300
Fax
(757) 788-0300
NPI assigned
Mar 9, 2007
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101231788 VA Primary

Addresses

Primary practice location

200 Medical Dr
Hampton, VA 23666-1763

Mailing address

200 Medical Dr
2ND Floor
Hampton, VA 23666-1763
Phone (757) 788-0300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Center of Jacksonville, Inc. Past Accepting new patients
Horizon Behavioral Health PastSince Jan 4, 2012 Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1063543957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR",
            "address_2": "2ND FLOOR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661763",
            "telephone_number": "757-788-0300",
            "fax_number": "757-788-0969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL DR",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661763",
            "telephone_number": "757-788-0300",
            "fax_number": "757-788-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENSCH",
        "first_name": "LISA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101231788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.