Lisa Maret Vonderhaar, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2106 Issued in CO

Practice address

10291 Chippewa Cir
Salida, CO 81201-9596

Phone

(970) 531-0574

NPI assigned

Dec 6, 2006

Last updated

Nov 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Lisa M. Vonderhaar, PH.D.,LLC

  • Clinical Psychologist
  • Salida, CO
  • NPI 1912341983
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1114086410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10291 CHIPPEWA CIR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019596",
            "telephone_number": "970-531-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10291 CHIPPEWA CIR",
            "city": "SALIDA",
            "state": "CO",
            "postal_code": "812019596",
            "telephone_number": "970-531-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VONDERHAAR",
        "first_name": "LISA",
        "middle_name": "MARET",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CO",
            "license": "2106",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randal E Villalovas, M.D.
• Joshua Maitreya Visitacion, M.D.
• Benjamin Scott Vold, PHARMD
• Michele Vold
• Jamie Vollmerhausen, P.A.C.
• Rebecca Jean Waggoner, RMT
• Tanya Marie Wait, RN
• Brett Walker
• Walmart Inc. (Walmart Pharmacy 10-0921)
• Marianne Wancura, RDH

• Clinical Psychologist in Salida, CO
• Providers in Salida, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.