Lisa Jo Woodcock-Burroughs, PH.D. LP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY.0005442 Issued in CO

Practice address

1905 Spirerock Path
Colorado Springs, CO 80919-2915

Phone

(517) 304-0059

NPI assigned

Feb 15, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Lisa J Woodcock-Burroughs

  • Adolescent and Children Mental Health Clinic/Center
  • Colorado Springs, CO
  • NPI 1770246407
  NPD Authorized official

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

{
    "created_epoch": "1266192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1508188749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 SPIREROCK PATH",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192915",
            "telephone_number": "517-304-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 SPIREROCK PATH",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809192915",
            "telephone_number": "517-304-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODCOCK-BURROUGHS",
        "first_name": "LISA",
        "middle_name": "JO",
        "credential": "PH.D. LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-15",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "L1617946",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301015109REN20",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "PSY.0005442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Wood, CCC-SLP
• Susan Rose Wood, NNP
• Diana Woodard
• Heather Woodard
• Jack Woodbury, RBT
• William Jeff Wooddell, MD
• Terren Woodfin
• Allison Woodhouse
• Deborah L Woodhouse, RMT
• Rachel Woodin, LPN

• Clinical Psychologist in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Clinical Psychologist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; 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.