Lisa C. Sacco, Psy.D., PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

1905 Issued in NC

Legal business name

LISA C. SACCO, PSY.D., PLLC

Practice address

1100 NW Maynard Rd
Suite 140
Cary, NC 27513-8706

Phone

(919) 428-2766

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lisa C. Sacco, PSY.D.

Title

Sole Member/Manager

Phone

(919) 523-7607

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1487788691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 BILLINGRATH TURN LN",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275192911",
            "telephone_number": "919-523-7607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NW MAYNARD RD",
            "address_2": "SUITE 140",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275138706",
            "telephone_number": "919-428-2766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA C. SACCO, PSY.D., PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "SACCO",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "SOLE MEMBER/MANAGER",
        "authorized_official_telephone_number": "919-523-7607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "1905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Cary, NC
• Providers in Cary, 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 Sep 23, 2010; 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.