Lisa Renee Balick, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

22623 Issued in TX

Practice address

3400 Bissonnet St
Ste 282
Houston, TX 77005-2100

Phone

(713) 666-1354

Fax

(713) 666-9057

NPI assigned

Dec 27, 2006

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Clinical Psychologist

Education

Baylor College of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Raquepaw Enterprises, Inc.

  • Clinical Psychologist
  • Houston, TX
  • NPI 1649252917
  NPD
• Judi Turner LPC, LMFT

  • Point of Service
  • Houston, TX
  • NPI 1982093803
  NPD (past)

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583625600000",
    "number": "1376608414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET",
            "address_2": "282",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052100",
            "telephone_number": "713-666-1354",
            "fax_number": "713-666-9057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 BISSONNET ST",
            "address_2": "STE 282",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770052100",
            "telephone_number": "713-666-1354",
            "fax_number": "713-666-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALICK",
        "first_name": "LISA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2020-03-08",
        "certification_date": "2020-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "22623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brandy Bales, RPA/RA (CBRPA) RT(R)
• Candy Bales, H.T.
• Noah Alexander Balestra
• Jasmin Baleva, M.D.
• Tracy Lynn Balgos, PHARMD
• Arlene Reuley M Balinao
• Christopher L. Balinger, M.D.
• Gregory Balint, LPC
• Jenelie Balisi
• Maria Florissa Balite

• Clinical Psychologist in Houston, TX
• Providers in Houston, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.