Active NPI
Lisa E. Wiens, PSY.D.,LP
- Clinical Psychologist
- Pittsburgh, PA
National Provider Identifier
1255544706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PS016409
- Practice address
- 3505 Perrysville Ave
Suite #2
Pittsburgh, PA 15214-2212 - Phone
- (724) 773-0624
- NPI assigned
- May 8, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | LP4182 | MN | |
| Clinical Psychologist | 103TC0700X | PS016409 | PA | Primary |
Addresses
Primary practice location
3505 Perrysville Ave
Suite #2
Pittsburgh, PA 15214-2212
Mailing address
3505 Perrysville Ave
Suite #2
Pittsburgh, PA 15214-2212
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 55B83WI | Other | MN | BCBS OF MINNESOTA |
| 1022415 | Other | MN | PREFERRED ONE |
| 61 33656 | Other | MN | UNITED BEHAVIORAL SYSTEMS |
| 263519400 | Medicaid | MN |
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LP4182 | MN | MD | Clinical Psychologist |
| PS016409 | PA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480982400000",
"number": "1255544706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3505 PERRYSVILLE AVE",
"address_2": "SUITE #2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152142212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3505 PERRYSVILLE AVE",
"address_2": "SUITE #2",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152142212",
"telephone_number": "724-773-0624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIENS",
"first_name": "LISA",
"middle_name": "E.",
"credential": "PSY.D.,LP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2016-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MN",
"license": "LP4182",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016409",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF MINNESOTA",
"identifier": "55B83WI",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED ONE",
"identifier": "1022415",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED BEHAVIORAL SYSTEMS",
"identifier": "61 33656",
"state": "MN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "263519400",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.