Lisa M Devore, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

4386 Issued in NC

Practice address

15720 Brixham Hill Ave Ste 300
Charlotte, NC 28277-4784

Phone

(704) 412-8360

Fax

(704) 603-3006

NPI assigned

Jul 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Cycle of Life Counseling, PLLC

  • Psychologist
  • Charlotte, NC
  • NPI 1164882759

  SC

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1279065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1588976971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774784",
            "telephone_number": "704-412-8360",
            "fax_number": "704-603-3006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 BRIXHAM HILL AVE STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282774784",
            "telephone_number": "704-412-8360",
            "fax_number": "704-603-3006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6277 Carolina Commons Dr # 600-370",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297076001",
            "country_code": "US",
            "telephone_number": "704-412-8360",
            "fax_number": "704-603-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVORE",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-14",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "SC",
            "license": "1829",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NC",
            "license": "4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Patricia Devine, CRNA
• Liza Devine
• Loriann Rose Devito, LCSW
• Brittney Foster Devitt, MS, OTR/L
• Brian John Devlin, PA
• Yasmin Devore, FNP-C
• Devoted Healing LLC
• Devoted2Care, LLC (Devoted2Care Home Care Agency)
• Aris Ramon Devries, PA-C
• Lisa Annette Devries, APRN

• Psychologist in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.