Lisa Sandlund, PSY.D., L.C.S.W

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

071008481 Issued in IL

Practice address

1541 E Fabyan Pkwy
Suite 100
Geneva, IL 60134-4105

Phone

(630) 845-9644

NPI assigned

Apr 16, 2007

Sex

Female

Sole proprietor

Yes

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

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": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1376768374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 E FABYAN PKWY",
            "address_2": "SUITE 100",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344105",
            "telephone_number": "630-845-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 E FABYAN PKWY",
            "address_2": "SUITE 100",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344105",
            "telephone_number": "630-845-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDLUND",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149012405",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071008481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Alice Sallmann, PT
• Emily Salomon, BA, RBT
• Shannon Sue Samuels Farmer, D.D.S.
• Yoanna Samantha Sanchez
• Eric Sanderson, DPT
• Maricruz Sandoval
• Kishore M Santwani
• Maliha Ammar Sayla, M.D.
• Amanda Scarpitti, DO
• Edwin W. Schaefer, N.P.

• Clinical Psychologist in Geneva, IL
• Providers in Geneva, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.