Lisa McMichael LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

LISA MCMICHAEL LLC

Doing business as

Lisa McMichael

Practice address

608 W Glen Arbor Way
Bloomington, IN 47403-4537

Phone

(812) 345-0492

NPI assigned

Mar 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Lisa Ann McMichael, PSY.D.NPI 1609937135

Title

Psychologist

Phone

(812) 345-0492

Specialties & licenses 1

Addresses

Other names 1

• LISA MCMICHAEL Doing business as

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisa Ann McMichael, PSY.D

  • Clinical Psychologist
  • Bloomington, IN
  • NPI 1609937135
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692144000000",
    "number": "1174223523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W GLEN ARBOR WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034537",
            "telephone_number": "812-345-0492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W GLEN ARBOR WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034537",
            "telephone_number": "812-345-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA MCMICHAEL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-08-16",
        "certification_date": "2023-08-16",
        "status": "A",
        "authorized_official_last_name": "MCMICHAEL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "812-345-0492",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LISA MCMICHAEL",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LISA MCMICHAEL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Marcus Lindsay, MD
• Laura Diane Lininger, LCSW
• Allen Robert Linnemeier, DDS
• Richard Armstrong Linnemeier, DDS
• Jason Linville, MA
• Listen Well Telepsychiatry, LLC
• Lithia E. Jimenez,OD, LLC (Landmark Eye Care)
• Scott Edward Little, D.C.
• Patrick Littlejohn
• Lived Experience Therapy and Consulting LLC

• Clinical Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2023; 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.

Verify at the official NPI Registry.