Active NPI
Lisa Ann Cuseo-Ott, PH.D.
- Clinical Psychologist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001927
- Practice address
- 12129 Graham Meadows Dr
Richmond, VA 23233-6661 - Phone
- (804) 288-4084
- Fax
- (804) 282-2601
- NPI assigned
- Jul 17, 2006
- Last updated
- Apr 23, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001927 | VA | Primary |
Addresses
Primary practice location
12129 Graham Meadows Dr
Richmond, VA 23233-6661
Mailing address
7130 Glen Forest Dr
Suite 101
Richmond, VA 23226-3754
Phone (804) 288-4084
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073531299 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
12129 Graham Meadows Dr
Richmond, VA 23233-6661
Phone (804) 288-4084
6600 W Broad St
Suite 100
Richmond, VA 23230-1709
Phone (804) 288-4087
8644 Sudley Rd
Suite 220
Manassas, VA 20110-4425
Phone (571) 366-8845
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Virginia Womens Center Inc | Current | Accepting new patients | |
| Privia Medical Group, LLC | Current | Accepting new patients | |
| Cardiovascular Associates of Virginia, P.C. | Past | Accepting new patients | |
| Summit Health Care Inc | Past | Accepting new patients | |
| Summit Health Care, Inc. | Past | Accepting new patients |
Locations
930 South Ave
Ste 2
Colonial Hgts, VA 23834
Phone (804) 520-8272
8644 Sudley Rd
#220
Manassas, VA 20110
12129 Graham Meadows Dr
Richmond, VA 23233
5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550
7130 Glen Forest Dr
Ste 101
Richmond, VA 23226
Interoperability endpoints
- lisa.cuseo-ott.1@8042.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Arlington, VA
- NPI 1013042480
-
- Specialist
- Richmond, VA
- NPI 1740594332
-
- Pain Medicine (Psychiatry & Neurology) Physician
- Rockville, MD
- NPI 1811715436
-
- Specialist
- Richmond, VA
- NPI 1528091022
-
dba Riverview Physicians For Women
- Obstetrics & Gynecology Physician
- Colonial Heights, VA
- NPI 1598861411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524441600000",
"number": "1073531299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7130 GLEN FOREST DR",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232263754",
"telephone_number": "804-288-4084",
"fax_number": "804-282-8678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12129 GRAHAM MEADOWS DR",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232336661",
"telephone_number": "804-288-4084",
"fax_number": "804-282-2601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUSEO-OTT",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2018-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1073531299",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.