Lisa C McElroy, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

34068 Issued in TX

Practice address

1730 Shawnee Ave
Indian River, MI 49749-8705

Phone

(214) 998-4888

NPI assigned

Jan 26, 2006

Last updated

Mar 5, 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

University of Pittsburgh School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lisamcelroy@tdh.allscriptsdirect.net

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.

• Lisa C McElroy PHD PLLC

  • Adult Development & Aging Psychologist
  • Coppell, TX
  • NPI 1427442896
  Medicare reassignment NPD Authorized official
• Lisa C. McElroy, PHD, Psychology, PC

  • Psychologist
  • Dryden, NY
  • NPI 1376594036
  NPD (past) Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychologist

  NPD

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1245201581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 SHAWNEE AVE",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497498705",
            "telephone_number": "214-998-4888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SHAWNEE AVE",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497498705",
            "telephone_number": "214-998-4888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCELROY",
        "first_name": "LISA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "012579",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "34068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Marie Ladere, LMSW
• Carrie Lahaie, NP
• Lighthouse Counseling, PLLC
• Chinita May Palle Long, PT
• Ashley Macfalda, OTRL
• Katie Ann Morell, FNP-C
• Marshall Walter Morley, D.D.S.
• Munson Healthcare Otsego Memorial Hospital (Munson Healthcare OMH Medical Group-Indian River)
• Munson Healthcare Otsego Memorial Hospital (Munson Healthcare OMH Medical Group-Indian River RHC)
• Samantha M Neff

• Psychologist in Indian River, MI
• Providers in Indian River, MI by specialty
• Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.