Lisa R Grossman PHD Psychologist a Professional Corporation

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY19121 Issued in CA

Legal business name

LISA R GROSSMAN PHD PSYCHOLOGIST A PROFESSIONAL CORPORATION

Practice address

825 College Ave
Santa Rosa, CA 95404-4108

Phone

(707) 527-0295

Fax

(707) 527-4036

NPI assigned

Apr 27, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Lisa R. Grossman, PH.D.

Title

Psychologist

Phone

(707) 527-0295

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Susan Marie Briggs, LMFT

  • Mental Health Counselor
  • Santa Rosa, CA
  • NPI 1174557847
  NPD (past)
• Lisa Grace

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1801914239
  NPD (past)
• Carol B. Sampson, MFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1114949427
  NPD (past)

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1205213485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 COLLEGE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044108",
            "telephone_number": "707-527-0295",
            "fax_number": "707-527-4036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 COLLEGE AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044108",
            "telephone_number": "707-527-0295",
            "fax_number": "707-527-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA R GROSSMAN PHD PSYCHOLOGIST A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "GROSSMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "707-527-0295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY19121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel K Lionett
• Erica Batres Lipanovich, PA-C
• Elina Lipilina, MA, RD, CNSD
• Wendy Lippard, RD
• Lisa B. Kremer, M.D.
• Stephanie Lisius
• Doug J Lisle, P.H.D.
• Nicole Marie Lithgow, OD
• Karen Helene Littell, MSW, LCSW, PPSC
• Deborah K Little Bear

• Psychologist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.