Active NPI
Philip J. Lanzisera, PH.D.
- Psychologist
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 6301001788
- Practice address
- Henry Ford Health System
One Ford Place 1F -Behavioral
Detroit, MI 48202 - Phone
- (313) 876-6677
- Fax
- (313) 874-6650
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 6301001788 | MI | Primary |
Addresses
Primary practice location
Henry Ford Health System
One Ford Place 1F -Behavioral
Detroit, MI 48202
Mailing address
1 Ford PL Ste 1F
Detroit, MI 48202-3450
Phone (313) 876-6677
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PHD888810 | Medicaid | MI | |
| PL001788 | Other | COMMERCIAL-COMMERCIAL NUMBER | |
| PL001788 | Other | CHAMPUS-CHAMPUS | |
| 700H262290 | Other | BLUE CROSS-BLUE CROSS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | planzisera12655@direct.hfhs.org | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Ford PL
2E
Detroit, MI 48202-3450
17250 Farmington Rd
Livonia, MI 48152-3151
Phone (734) 425-4070
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (800) 653-6568
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301001788 | MI | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Henry Ford Health Eastwood Behavioral Health | Current | Accepting new patients | |
| Henry Ford Health System | Clinical | Current | Accepting new patients |
| Henry Ford Health System | Current | Accepting new patients |
Locations
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070
Interoperability endpoints
- planzisera12655@direct.hfhs.org
Organizations & group practices 3
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.
-
- Social Worker
- Clinton Township, MI
- NPI 1396787701
-
- Clinical Psychologist
- Detroit, MI
- NPI 1114001468
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Detroit, MI
- NPI 1134144801
-
- General Acute Care Hospital
- West Bloomfield, MI
- NPI 1407867559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1093863680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FORD PL STE 1F",
"city": "DETROIT",
"state": "MI",
"postal_code": "482023450",
"telephone_number": "313-876-6677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HENRY FORD HEALTH SYSTEM",
"address_2": "ONE FORD PLACE 1F -BEHAVIORAL",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-876-6677",
"fax_number": "313-874-6650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANZISERA",
"first_name": "PHILIP",
"middle_name": "J.",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "MI",
"license": "6301001788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PHD888810",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL-COMMERCIAL NUMBER",
"identifier": "PL001788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS-CHAMPUS",
"identifier": "PL001788",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-BLUE CROSS",
"identifier": "700H262290",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "planzisera12655@direct.hfhs.org",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "Henry Ford Health System",
"address_2": "One Ford Place 1F -Behavioral",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; 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.