Lisa Owens Hennick, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1466 Issued in AL

Practice address

2204 Lakeshore Dr Ste 440
440
Birmingham, AL 35209-6729

Phone

(205) 874-7844

Fax

(205) 874-7848

NPI assigned

Mar 5, 2008

Last updated

Mar 5, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grayson and Associates PCGroup PAC ID 9032108253, 65 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Grayson and Associates PC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1194772442
  Medicare reassignment Care Compare group NPD
• SVPS Psychiatric Services LLC

  • Psychiatry Physician
  • Birmingham, AL
  • NPI 1447528591
  NPD (past)

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204675200000",
    "number": "1477723567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR STE 440",
            "address_2": "440",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 LAKESHORE DR STE 440",
            "address_2": "440",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352096729",
            "telephone_number": "205-874-7844",
            "fax_number": "205-874-7848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNICK",
        "first_name": "LISA",
        "middle_name": "OWENS",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "AL",
            "license": "1466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Tew Henegan, DPT
• Allyson Heng
• Richard Andrew Heng, MD
• Elizabeth M Henley, CRNA
• Colleen E Henling, MD
• German Henostroza
• Henry E. McKay, III, DDS, PC
• Henry R. Griffith, PH.D.
• Amy C. Henry, DNP, CRNP, AGPCNP-BC
• Darius Jamarr Henry, CRNA

• Psychologist in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Psychologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.