Lisa Cecilia Campbell, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071-006617 Issued in IL

Practice address

2604 Dempster St Ste 402
Park Ridge, IL 60068-8438

Phone

(847) 318-8200

Fax

(224) 478-0026

NPI assigned

Aug 23, 2006

Last updated

Feb 12, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Willow Wellness Center, PLLCGroup PAC ID 0941275267, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Willow Wellness Center, PLLC

  • Adult Mental Health Clinic/Center
  • Park Ridge, IL
  • NPI 1154437739

  Clinical

  Medicare reassignment Care Compare group NPD Authorized official
• Center for Psychological Services, LLC.

  • Clinical Psychologist
  • Northfield, IL
  • NPI 1548319775
  NPD (past)
• Neurobehavioral Health Connections, LTD

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1164545836
  NPD (past)
• Robert M Pasen PHD PC

  dba Neurobehavioral Health Connections, Ltd

  • Clinical Psychologist
  • Mundelein, IL
  • NPI 1821030024
  NPD (past)

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

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1184730764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 402",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688438",
            "telephone_number": "847-318-8200",
            "fax_number": "224-478-0026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2604 DEMPSTER ST STE 402",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600688438",
            "telephone_number": "847-318-8200",
            "fax_number": "224-478-0026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "LISA",
        "middle_name": "CECILIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-006617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miriam Calma
• Lauren Elizabeth Camarda, MD
• Shanthi Cambala
• Adrienne Cameron
• Brianna Renee Campbell
• Robert Bruce Campbell, PSY.D., M.DIV.
• Lauren Cannon
• Bridget Faith Cantrell, APN, ACNP
• Joseph P Capezio, M.D.
• Michael Thomas Cappello, D.O.

• Clinical Psychologist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.