Lisa Anne Pualani Sanchez-Johnsen, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

855 Issued in HI

Practice address

N2251 Wilderland Dr
Lake Geneva, WI 53147-4464

Phone

(262) 729-2910

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Mrs. Lisa A. P. Johnsen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Multicultural Health and Wellness, PLLC

  • Adult Mental Health Clinic/Center
  • Lake Geneva, WI
  • NPI 1821731225
  NPD Authorized official
• The Board of Trustees of the University of Illinois

  • Occupational Medicine Physician
  • Chicago, IL
  • NPI 1043727571
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663459200000",
    "number": "1164517710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N2251 WILDERLAND DR",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474464",
            "telephone_number": "773-266-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "N2251 WILDERLAND DR",
            "city": "LAKE GENEVA",
            "state": "WI",
            "postal_code": "531474464",
            "telephone_number": "262-729-2910"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 N Hoyne Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606224916",
            "country_code": "US",
            "telephone_number": "262-729-2910",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1188 Bishop St Ste 1112",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968133304",
            "country_code": "US",
            "telephone_number": "808-376-6165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ-JOHNSEN",
        "first_name": "LISA",
        "middle_name": "ANNE PUALANI",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-09-18",
        "certification_date": "2022-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WI",
            "license": "3993-57",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006666",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "HI",
            "license": "855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "JOHNSEN",
            "middle_name": "A. P.",
            "prefix": "MRS.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brittany L Ruvalcaba
• Gabrielle Judith-Mania Saden, MD
• Cody Sadikoff, RN
• Nicole Saldivar
• Samantha Cox DDS LLC
• Aileen J Santos, NP
• Nicole Santos, LPC
• Robynanne Scheuerman
• Bruno Elmer Schiffleger, DDS
• Chad Arley Schleiger, D.C.

• Psychologist in Lake Geneva, WI
• Providers in Lake Geneva, WI by specialty
• Psychologist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.