Lisa Slover, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY31845 Issued in CA

Practice address

1209 Park St Ste 301B
Paso Robles, CA 93446-7251

Phone

(805) 791-6040

NPI assigned

Apr 10, 2018

Last updated

Dec 23, 2024By the provider in NPPES

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

• Ms. Lisa Nicole Aguilar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Renascence Psychological Services, Inc.

  dba Renascence Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Paso Robles, CA
  • NPI 1588377824
  NPD Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1366949943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 MONTEREY ST STE A",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934012969",
            "telephone_number": "805-791-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 PARK ST STE 301B",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934467251",
            "telephone_number": "805-791-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOVER",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY31845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "AGUILAR",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon L Simmons
• Victoria Jean Simon Berg, MA,
• Amandeep Singh, MD
• Taylor Sistler
• Kimberly G. Skinner, AU.D.
• April Dunaway Smith, FNP
• Jared C Smith
• Teresa Smithson, ASWC
• Freddy Soltero, LMFT
• Kelleigh Sorenson, FNP-C

• Clinical Psychologist in Paso Robles, CA
• Providers in Paso Robles, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.