Active NPI
Lisa Nigro Cappelletti, PSY.D., PSY.D.
- Psychologist
- Sherman Oaks, CA
National Provider Identifier
1396574554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY15722
- Practice address
- 13749 Riverside Dr Ste 100
Sherman Oaks, CA 91423-2446 - Phone
- (310) 867-4454
- NPI assigned
- Jul 27, 2024
- Last updated
- Jul 27, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychoanalysis Psychologist | 103TP0814X | PSY15722 | CA | |
| Psychologist | 103T00000X | PSY15722 | CA | Primary |
Addresses
Primary practice location
13749 Riverside Dr Ste 100
Sherman Oaks, CA 91423-2446
Mailing address
4648 Lemona Ave
Sherman Oaks, CA 91403-2427
Phone (310) 867-4454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 16, 2026 through Jun 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY15722 | CA | MD | Psychoanalysis Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722038400000",
"number": "1396574554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4648 LEMONA AVE",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032427",
"telephone_number": "310-867-4454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13749 RIVERSIDE DR STE 100",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914232446",
"telephone_number": "310-867-4454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPELLETTI",
"first_name": "LISA",
"middle_name": "NIGRO",
"name_prefix": "Dr.",
"credential": "PSY.D., PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-27",
"last_updated": "2024-07-27",
"certification_date": "2024-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TP0814X",
"taxonomy_group": "",
"desc": "Psychologist, Psychoanalysis",
"state": "CA",
"license": "PSY15722",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY15722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.