Individual provider Active NPI

Lisa D. Hinz, PH.D.

  • Psychologist
  • Saint Helena, CA
National Provider Identifier
1588978662
Registry record updated Apr 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY15218 Issued in CA
Practice address
1335 Main St
Suite 107
Saint Helena, CA 94574-1940
Phone
(707) 815-7032
NPI assigned
Aug 2, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY15218 CA Primary

Addresses

Primary practice location

1335 Main St
Suite 107
Saint Helena, CA 94574-1940

Mailing address

1335 Main St
Suite 107
Saint Helena, CA 94574-1940
Phone (707) 818-7032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20141230001161 CA Practitioner - Clinical Psychologist 1850614777 Practice locations: Saint Helena, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1335 Main St
Saint Helena, CA 94574-1940
Phone (707) 815-7032

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY15218CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1588978662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 MAIN ST",
            "address_2": "SUITE 107",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741940",
            "telephone_number": "707-818-7032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1335 MAIN ST",
            "address_2": "SUITE 107",
            "city": "SAINT HELENA",
            "state": "CA",
            "postal_code": "945741940",
            "telephone_number": "707-815-7032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZ",
        "first_name": "LISA",
        "middle_name": "D.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-02",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY15218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Helena, CA

Sources for this page

Verify at the official NPI Registry.