Lisa Anne Okoniewski, PH.D

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PS004360-L Issued in PA

Practice address

4953 McKean Ave
Philadelphia, PA 19144-4160

Phone

(215) 842-9399

Fax

(215) 842-0283

NPI assigned

Feb 5, 2007

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114066388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 MCKEAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444160",
            "telephone_number": "215-842-9399",
            "fax_number": "215-842-0283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4953 MCKEAN AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191444160",
            "telephone_number": "215-842-9399",
            "fax_number": "215-842-0283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKONIEWSKI",
        "first_name": "LISA",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "PA",
            "license": "PS004360-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "0049481000",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patience Okolie, MD
• Bryan Okolo
• Obianeze Okolo, MD, MBA
• Ogoegbunam Okolo
• Noel Okon
• Chinelo Lucy Okonkwo
• Onyeka W. Okonkwo, MD
• Cynthia Ann Okore, LCSW
• Janet Lorenz Okorji, NP
• Leslie Manuwa Okorji

• Psychologist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Psychologist in Pennsylvania

• 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.
• 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.

Verify at the official NPI Registry.