Active NPI
Lisa M Kinney, PHD
- Clinical Psychologist
- Caguas, PR
National Provider Identifier
1154192870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 7520
- Practice address
- Ave Bairoa Calle Guarionex BS2 Local 4
Caguas, PR 00727 - Phone
- (787) 460-8360
- NPI assigned
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 7520 | PR | Primary |
Addresses
Primary practice location
Ave Bairoa Calle Guarionex BS2 Local 4
Caguas, PR 00727
Mailing address
Calle B C2 Golden Gate 1
Caguas, PR 00727
Phone (787) 447-0101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250801002658 | PR | Practitioner - Psychologist Billing Independently | 8820506785 | Practice locations: Caguas, PR |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705795200000",
"number": "1154192870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "CALLE B C2 GOLDEN GATE 1",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-447-0101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "AVE BAIROA CALLE GUARIONEX BS2 LOCAL 4",
"city": "CAGUAS",
"state": "PR",
"postal_code": "00727",
"telephone_number": "787-460-8360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINNEY",
"first_name": "LISA",
"middle_name": "M",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-11",
"last_updated": "2024-01-21",
"certification_date": "2024-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PR",
"license": "7520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Caguas, PR
- Francheska Justiniano Flores, LCDA
- Kardiogamm Nuclear Imaging, PSC
- Helen Kareh Vazquez, MD
- Shivani Kasabwala
- KCN-Nutricion Con Bienestar LLC
- Marizabel La Puerta Resto, FT
- Lab Clinico Caguas Norte
- Laboratorio Clinico Bairoa (Laboratorio Clinico Borinquen-Los Prados)
- Laboratorio Clinico Bairoa (Laboratorio Clinico Borinquen-Caguas Ralph)
- Laboratorio Clinico Bairoa Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.