Individual provider Active NPI

Lisa Meyer, PHD

  • Clinical Psychologist
  • Wheeling, WV
National Provider Identifier
1104208586
Registry record updated May 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1175 Issued in WV
Practice address
1819 Wood St
Wheeling, WV 26003-3607
Phone
(304) 234-3500
Fax
(304) 845-9977
NPI assigned
Jun 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 6301016315 MI
Psychologist 103T00000X 1175 WV
Clinical Psychologist 103TC0700X 1175 WV Primary

Addresses

Primary practice location

1819 Wood St
Wheeling, WV 26003-3607

Mailing address

111 19TH St
Wheeling, WV 26003-3715
Phone (304) 234-3500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180227003300 WV Practitioner - Clinical Psychologist 0042571457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Northwood Health Systems IncGroup PAC ID 4880600048, 14 clinicians

Practice addresses (Care Compare)

2121 Eoff St
Wheeling, WV 26003-3805
Phone (304) 234-3500

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
6301016315MIMDPsychologist
1175WVMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Health Systems Inc CurrentSince Oct 8, 2023 Accepting new patients

Locations

10 Ash Ave
Moundsville, WV 26041
Phone (304) 845-3000

747 2nd St
North Martinsvlle, WV 26155
Phone (304) 305-0651

353 American Way
Weirton, WV 26062
Phone (304) 217-3019

2121 Eoff St
Wheeling, WV 26003
Phone 30423435003246

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684972800000",
    "number": "1104208586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 19TH ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033715",
            "telephone_number": "304-234-3500",
            "fax_number": "304-845-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 WOOD ST",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260033607",
            "telephone_number": "304-234-3500",
            "fax_number": "304-845-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYER",
        "first_name": "LISA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2023-05-25",
        "certification_date": "2023-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "6301016315",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1175",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "1175",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.