Thomas L. Lissman, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

74274 Issued in MN

Practice address

1610 8TH Ave E
Alexandria, MN 56308-2472

Phone

(320) 335-6213

Fax

(320) 759-1002

NPI assigned

Jun 27, 2006

Sex

Male

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 MN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Anoka Metro Regional Treatment Center

  • Psychiatric Hospital
  • Anoka, MN
  • NPI 1275585564

  MN

  Medicare reassignment NPD
• Community Behavioral Health Hospital Alexandria

  • Psychiatric Hospital
  • Alexandria, MN
  • NPI 1386676799

  MN

  Medicare reassignment NPD
• Firstcare Medical Foundation

  • Family Medicine Physician
  • Albany, OR
  • NPI 1740216498

  Psychiatry

  NPD (past)
• Good Samaritan Hospital Corvallis

  • Durable Medical Equipment & Medical Supplies
  • Corvallis, OR
  • NPI 1477851186
  NPD (past)

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762732800000",
    "number": "1346277191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 8TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082472",
            "telephone_number": "320-335-6201",
            "fax_number": "541-768-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 8TH AVE E",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563082472",
            "telephone_number": "320-335-6213",
            "fax_number": "320-759-1002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSMAN",
        "first_name": "THOMAS",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2025-11-10",
        "certification_date": "2025-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MN",
            "license": "74274",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD22054",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn A Lichty, LICSW
• Whitney Lick, LAMFT
• Madison G Liebe
• Timothy E Lindley, M.D.
• Kristen Lingl, DC
• Little Falls Eye Care Center PA
• Lauren Phyllis Loe, DPT
• Brooke Ann Loeffler, RD
• Kathleen Carol Lofquist, LADC
• Alissa Lommel

• All providers in Alexandria, MN
• Psychiatry Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.