Individual provider Active NPI

Lisa Michelle Parker, MA, NCSP

  • School Psychologist
  • Plattsburgh, NY
National Provider Identifier
1437393014
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
1406035201 Issued in NY
Practice address
22 New York Rd
Plattsburgh, NY 12903-3981
Phone
(518) 637-7345
NPI assigned
Apr 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
School Psychologist 103TS0200X 1406035201 NY Primary

Addresses

Primary practice location

22 New York Rd
Plattsburgh, NY 12903-3981

Mailing address

22 New York Rd
Plattsburgh, NY 12903-3981
Phone (518) 561-3803

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
1406035201NYMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Country Kids Inc. CurrentSince Dec 21, 2021 Accepting new patients
Citizen Advocates, Inc PastSince Feb 21, 2005 Accepting new patients
Franklin County Community Services Past Accepting new patients

Locations

22 New York Rd
Plattsburgh, NY 12903
Phone (518) 561-3803

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1240790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1437393014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 NEW YORK RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033981",
            "telephone_number": "518-561-3803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 NEW YORK RD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129033981",
            "telephone_number": "518-637-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "LISA",
        "middle_name": "MICHELLE",
        "credential": "MA, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-27",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NY",
            "license": "1406035201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.