Individual provider Active NPI

Lisa Weyandt, PH.D.

  • Psychologist
  • North Kingstown, RI
National Provider Identifier
1124479977
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS01554 Issued in RI
Practice address
420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638
Phone
(401) 268-5333
Fax
(855) 268-5333
NPI assigned
Jun 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS01554 RI Primary

Addresses

Primary practice location

420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638

Mailing address

47 Danielson Pike
North Scituate, RI 02857-1892
Phone (401) 268-5333

Other practice location 1

16 Ellery Rd
Newport, RI 02840-2821
Phone (509) 859-3426

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
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
I20240827001738 RI Practitioner - Clinical Psychologist 3476092024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South County Psychiatry LLCGroup PAC ID 4880021658, 28 clinicians

Practice addresses (Care Compare)

420 Scrabbletown Rd
Suite a
North Kingstown, RI 02852-3638
Phone (401) 268-5333

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South County Psychiatry LLC CurrentSince Jun 20, 2024 Accepting new patients

Locations

420 Scrabbletown Rd
Ste A
North Kingstown, RI 02852
Phone (401) 268-5333

47 Danielson Pike
North Scituate, RI 02857
Phone (401) 258-5419

Organizations & group practices 1

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1124479977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DANIELSON PIKE",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571892",
            "telephone_number": "401-268-5333",
            "fax_number": "855-268-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SCRABBLETOWN RD STE A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523638",
            "telephone_number": "401-268-5333",
            "fax_number": "855-268-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16 Ellery Rd",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402821",
            "country_code": "US",
            "telephone_number": "509-859-3426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEYANDT",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS01554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Kingstown, RI

Sources for this page

Verify at the official NPI Registry.