Active NPI
Lisa H Parker
- Clinical Psychologist
- Jenkintown, PA
National Provider Identifier
1194164012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 020827
- Practice address
- 764 Glen Rd
Jenkintown, PA 19046-1529 - Phone
- (516) 210-6464
- NPI assigned
- Jun 25, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 020827 | NY | Primary |
| Psychologist | 103T00000X | PS020617 | PA |
Addresses
Primary practice location
764 Glen Rd
Jenkintown, PA 19046-1529
Mailing address
16 Sagamore Hill Rd
Oyster Bay, NY 11771-1807
Phone (631) 807-6487
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 020827 | NY | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783036800000",
"number": "1194164012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 SAGAMORE HILL RD",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117711807",
"telephone_number": "631-807-6487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "764 GLEN RD",
"city": "JENKINTOWN",
"state": "PA",
"postal_code": "190461529",
"telephone_number": "516-210-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARKER",
"first_name": "LISA",
"middle_name": "H",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2026-07-03",
"certification_date": "2026-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NY",
"license": "020827",
"primary": true
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS020617",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jenkintown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.