Lisa Adams Stackhouse, DO

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MB04099100 Issued in NJ

Practice address

509 S. Lenola Rd
Suite 4a
Moorestown, NJ 08057

Phone

(856) 439-9300

Fax

(856) 439-1190

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083835599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 S. LENOLA RD",
            "address_2": "SUITE 4A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-439-9300",
            "fax_number": "856-439-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 S. LENOLA RD",
            "address_2": "SUITE 4A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-439-9300",
            "fax_number": "856-439-1190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STACKHOUSE",
        "first_name": "LISA",
        "middle_name": "ADAMS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MB04099100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• South Jersey Therapy Collective LLC
• Vincent Spagnuolo, M.D.
• Sparkline Medical LLC
• Christine Spuler, PT, DPT
• Aashish Sreeram, PHARMD
• Seth Nels Stake, MD
• Kayla Soron Steele, MD
• Lauren Elizabeth Steffen, PHARMD
• Susanne Inez Steinberg, MD
• Steven Horvitz, D.O., Family Medicine, P.C.

• Psychiatry Physician in Moorestown, NJ
• Providers in Moorestown, NJ by specialty
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.