Active NPI
Lisa Moran, PH.D.
- Clinical Neuropsychologist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PSY-2024-0071
- Practice address
- 4477 Irving Blvd NW Ste B
Albuquerque, NM 87114-5529 - Phone
- (505) 221-6214
- Fax
- (505) 298-4737
- NPI assigned
- Apr 10, 2015
- Last updated
- Jan 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | PSY-2024-0071 | NM | Primary |
| Clinical Neuropsychologist | 103G00000X | 26724 | CA |
Addresses
Primary practice location
4477 Irving Blvd NW Ste B
Albuquerque, NM 87114-5529
Mailing address
4477 Irving Blvd NW Ste B
Albuquerque, NM 87114-5529
Phone (505) 221-6214
Other practice location 1
6300 Riverside Plaza Ln NW Ste 100
Albuquerque, NM 87120-1908
Phone (505) 221-6214
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY-2024-0071 | NM | MD | Clinical Neuropsychologist |
| 26724 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Pediatric Neuropsychology, LLC | Clinical Neuropsychologist | Current | Accepting new patients |
| Joanne M. Hamilton Psychologist a Professional Corporation | Clinical Neuropsychologist | Past | Accepting new patients |
Locations
4477 Irving Blvd NW
Ste B
Albuquerque, NM 87114
Phone (505) 221-6214
6300 Riverside Plaza Ln NW
Ste 100
Albuquerque, NM 87120
Phone (505) 405-3617
Organizations & group practices 2
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.
-
- Clinical Neuropsychologist
- Albuquerque, NM
- NPI 1730990490
-
- Clinical Neuropsychologist
- San Diego, CA
- NPI 1144428467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767916800000",
"number": "1386030963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4477 IRVING BLVD NW STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145529",
"telephone_number": "505-221-6214",
"fax_number": "505-298-4737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4477 IRVING BLVD NW STE B",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871145529",
"telephone_number": "505-221-6214",
"fax_number": "505-298-4737"
}
],
"practiceLocations": [
{
"address_1": "6300 Riverside Plaza Ln NW Ste 100",
"address_purpose": "LOCATION",
"city": "Albuquerque",
"state": "NM",
"postal_code": "871201908",
"country_code": "US",
"telephone_number": "505-221-6214",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORAN",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-10",
"last_updated": "2026-01-09",
"certification_date": "2026-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "NM",
"license": "PSY-2024-0071",
"primary": true
},
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "CA",
"license": "26724",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.