Active NPI
Lisa R Hale, PHD
- Cognitive & Behavioral Psychologist
- Overland Park, KS
National Provider Identifier
1558570705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cognitive & Behavioral Psychologist
- License
- 1296
- Practice address
- 10555 Marty St
Ste 100
Overland Park, KS 66212-2555 - Phone
- (913) 649-8820
- Fax
- (913) 649-8823
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 1296 | KS | Primary |
Addresses
Primary practice location
10555 Marty St
Ste 100
Overland Park, KS 66212-2555
Mailing address
10555 Marty St
Ste 100
Overland Park, KS 66212-2555
Phone (913) 649-8820
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 1, 2011 through Feb 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408060800000",
"number": "1558570705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10555 MARTY ST",
"address_2": "STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122555",
"telephone_number": "913-649-8820",
"fax_number": "913-649-8823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10555 MARTY ST",
"address_2": "STE 100",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662122555",
"telephone_number": "913-649-8820",
"fax_number": "913-649-8823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALE",
"first_name": "LISA",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2014-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "KS",
"license": "1296",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.