Active NPI
Lisa A Riemenschneider, PSY.D.
- Clinical Neuropsychologist
- Geneva, IL
National Provider Identifier
1194789792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 071-006636
- Practice address
- 302 Randall Rd
Geneva, IL 60134-4209 - Phone
- (630) 534-5845
- Fax
- (630) 208-3007
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- No
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 Neuropsychologist | 103G00000X | 071-006636 | IL | Primary |
Addresses
Primary practice location
302 Randall Rd
Geneva, IL 60134-4209
Mailing address
302 Randall Rd
Geneva, IL 60134-4209
Phone (630) 534-5845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 206147222 | Other | IL | MEDICARE (INDIVIDUAL PTAN) |
Other names 1
- Lisa A Altstadt
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2024 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 071-006636 | IL | MD | Clinical Neuropsychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Rural Psychology | Past | Accepting new patients | |
| Foroutan & Associates SC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Voluntary or Charitable Agency
- Elburn, IL
- NPI 1356451009
-
- Psychiatry Physician
- Sycamore, IL
- NPI 1063445476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536278400000",
"number": "1194789792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 RANDALL RD",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344209",
"telephone_number": "630-534-5845",
"fax_number": "630-208-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 RANDALL RD",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344209",
"telephone_number": "630-534-5845",
"fax_number": "630-208-3007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEMENSCHNEIDER",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-12",
"last_updated": "2018-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "IL",
"license": "071-006636",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE (INDIVIDUAL PTAN)",
"identifier": "206147222",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "ALTSTADT",
"middle_name": "A",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.