Gail Lesley Lisson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

3456 Issued in NC

Practice address

112 N Circle Dr
Suite B
Rocky Mount, NC 27804-2430

Phone

(252) 206-6930

Fax

(252) 443-9101

NPI assigned

Nov 28, 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

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

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214438400000",
    "number": "1427230820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 N CIRCLE DR",
            "address_2": "SUITE B",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042430",
            "telephone_number": "252-206-6930",
            "fax_number": "252-443-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 N CIRCLE DR",
            "address_2": "SUITE B",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278042430",
            "telephone_number": "252-206-6930",
            "fax_number": "252-443-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISSON",
        "first_name": "GAIL",
        "middle_name": "LESLEY",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "3456",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6958",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6001035",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lifesaver Resources, Inc.
• Lifetime Care Shuttle, LLC
• Lindsey Tyndall Liles, CRNA
• Lindy W. Kitchin Counseling PLLC
• Maria Theresa Liquete, MD
• Danise McLaurin Little
• Lizza Mae Phillips
• Debra Gail Long, R.D.
• Devin Patrick Long, BCBA
• Joshua Long, ATC, LAT

• Clinical Psychologist in Rocky Mount, NC
• Providers in Rocky Mount, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.