Individual provider Active NPI

Lissy George

  • Clinical Psychologist
National Provider Identifier
1316601610
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY10304 Issued in FL
Practice address
9/3 Knox Street
Hamilton Central, WAIKATO 3204
NZ
Phone
(022) 646-1004
NPI assigned
Oct 25, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X PY10304 FL Primary

Addresses

Primary practice location

9/3 Knox Street
Hamilton Central, WAIKATO 3204
NZ

Mailing address

9/3 Knox Street
Hamilton Central, AA 3204
NZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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

Enrollment IDStateProvider typePAC IDDetails
I20221207001856 MO Practitioner - Clinical Psychologist 7416334404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Francis Medical CenterGroup PAC ID 9931007929, 441 clinicians

Practice addresses (Care Compare)

211 Saint Francis Dr
Cape Girardeau, MO 63703-5049
Phone (573) 331-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.07 of 100Reported as apm
Quality
85.4
Promoting interoperability
0
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1408OKMDMental Health Counselor
PY10304FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Francis Medical Center Multi-Specialty Current Accepting new patients
Saint Francis Medical Center Multi-Specialty CurrentSince Jan 16, 2022 Accepting new patients
Saint Francis Medical Center CurrentSince Jan 16, 2022 Accepting new patients

Locations

211 Saint Francis Dr
Cpe Girardeau, MO 63703
Phone (573) 331-3000

Organizations & group practices 3

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316601610",
    "addresses": [
        {
            "country_code": "NZ",
            "country_name": "New Zealand",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "9/3 KNOX STREET",
            "city": "HAMILTON CENTRAL",
            "state": "AA",
            "postal_code": "3204"
        },
        {
            "country_code": "NZ",
            "country_name": "New Zealand",
            "address_purpose": "LOCATION",
            "address_type": "FGN",
            "address_1": "9/3 KNOX STREET",
            "city": "HAMILTON CENTRAL",
            "state": "WAIKATO",
            "postal_code": "3204",
            "telephone_number": "022-646-1004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE",
        "first_name": "LISSY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-25",
        "last_updated": "2022-07-21",
        "certification_date": "2021-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.