Active NPI
Lissa Joy Geiken, PH.D.
- Counseling Psychologist
- Davis, CA
National Provider Identifier
1609181601
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 24551
- Practice address
- 1 Shields Ave
Caps 219 North Hall
Davis, CA 95616-5270 - Phone
- (530) 752-9923
- Fax
- (530) 752-9923
- NPI assigned
- Aug 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 24551 | CA | Primary |
Addresses
Primary practice location
1 Shields Ave
Caps 219 North Hall
Davis, CA 95616-5270
Mailing address
739 Dingle LN
Woodland, CA 95695-3963
Phone (541) 335-1095
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24551 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Counseling and Psychological Services | Past | Accepting new patients | |
| Counseling and Psychological Services (Caps | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Psychologist
- Davis, CA
- NPI 1376701532
-
- Psychologist
- Davis, CA
- NPI 1861650657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316649600000",
"number": "1609181601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 DINGLE LN",
"city": "WOODLAND",
"state": "CA",
"postal_code": "956953963",
"telephone_number": "541-335-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 SHIELDS AVE",
"address_2": "CAPS 219 NORTH HALL",
"city": "DAVIS",
"state": "CA",
"postal_code": "956165270",
"telephone_number": "530-752-9923",
"fax_number": "530-752-9923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEIKEN",
"first_name": "LISSA",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-13",
"last_updated": "2011-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "24551",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Davis, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.