Active NPI
Lisa Lewis, PHD
- Clinical Neuropsychologist
- Waynesburg, PA
National Provider Identifier
1386842482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- PS016257
- Practice address
- 501 W High St
Cornerstone Care
Waynesburg, PA 15370-7209 - Phone
- (724) 627-4309
- Fax
- (724) 627-0726
- NPI assigned
- Jul 10, 2007
- 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 | PS016257 | PA | Primary |
| Clinical Psychologist | 103TC0700X | PS016257 | PA |
Addresses
Primary practice location
501 W High St
Cornerstone Care
Waynesburg, PA 15370-7209
Mailing address
661 Ross St
Waynesburg, PA 15370-1049
Phone (724) 627-4309
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)
- Enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1386842482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 ROSS ST",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153701049",
"telephone_number": "724-627-4309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 W HIGH ST",
"address_2": "CORNERSTONE CARE",
"city": "WAYNESBURG",
"state": "PA",
"postal_code": "153707209",
"telephone_number": "724-627-4309",
"fax_number": "724-627-0726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "LISA",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "PA",
"license": "PS016257",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "PA",
"license": "PS016257",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.