Lisa Michelle Henry, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007504 Issued in VA

Practice address

650 Huebner Rd.
BH Outpatient
Ft. Riley, KS 66442-4030

Phone

(785) 239-3627

NPI assigned

Aug 17, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Lisa Michelle Disilvestro Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1336795004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD.",
            "address_2": "BH OUTPATIENT",
            "city": "FT. RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-3627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 HUEBNER RD.",
            "address_2": "BH OUTPATIENT",
            "city": "FT. RILEY",
            "state": "KS",
            "postal_code": "664424030",
            "telephone_number": "785-239-3627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-17",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "DISILVESTRO",
            "middle_name": "MICHELLE",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Andrew Philip Hawkins, DPT
• Tanner Hawkinson
• Cindy Heath, NP
• Andrea Nicole Heier, MD
• Jason Matthias Henning, MPAS, APA-C
• Amanda Hermsen
• Juan Eduardo Hernandez Jimenez
• Timothy D Heronemus, LCSCW
• Micky D Herron, CRT
• Joel Hess, PHARM.D.

• Clinical Psychologist in Ft. Riley, KS
• Providers in Ft. Riley, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.