Active NPI
Lisa A Flannigan, PHD
- Psychologist
- Roswell, GA
National Provider Identifier
1265527691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY002661
- Practice address
- 500 Sun Valley Dr Ste A4
Roswell, GA 30076-1480 - Phone
- (678) 948-8202
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 15, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY002661 | GA | Primary |
Addresses
Primary practice location
500 Sun Valley Dr Ste A4
Roswell, GA 30076-1480
Mailing address
500 Sun Valley Dr Ste A4
Roswell, GA 30076-1480
Phone (678) 948-8202
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY002661 | GA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584230400000",
"number": "1265527691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SUN VALLEY DR STE A4",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761480",
"telephone_number": "678-948-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SUN VALLEY DR STE A4",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761480",
"telephone_number": "678-948-8202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANNIGAN",
"first_name": "LISA",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2020-03-15",
"certification_date": "2020-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "GA",
"license": "PSY002661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
- Jennifer Leigh Fisher, D.C.
- Toree Fisher, RBT
- Fitmed Wellness, LLC (Fitmed Wellness Center)
- Deborah Fitzgerald
- Cyntina Lee Fladger, REGISTERED NURSE
- Karli Fleitas, PHD, LMHC
- Marla Fleming, APRN, CNSPMH-BC
- Natalie A Flolo, RD, LD, CDE
- Florida Autism Center (Fusion Autism Centers)
- Jason Kendall Flowe, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.