Lisa Ann McMichael, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

20041347A Issued in IN

Practice address

608 W Glen Arbor Way
Bloomington, IN 47403-4537

Phone

(812) 345-0492

Fax

(812) 333-0961

NPI assigned

Dec 12, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, IN2 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

Wright State University Boonshoft School of Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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 McMichael LLC

  • Clinical Psychologist
  • Bloomington, IN
  • NPI 1174223523
  Medicare reassignment NPD Authorized official
• Henry County Hospital Inc

  • Critical Access Hospital
  • Napoleon, OH
  • NPI 1407880909
  Medicare reassignment NPD
• Lois K Lambrecht MD PC

  • Internal Medicine Physician
  • Bloomington, IN
  • NPI 1184832057
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1609937135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 W GLEN ARBOR WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034537",
            "telephone_number": "812-345-0492",
            "fax_number": "812-333-4537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 W GLEN ARBOR WAY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034537",
            "telephone_number": "812-345-0492",
            "fax_number": "812-333-0961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 N Walnut St",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474042069",
            "country_code": "US",
            "telephone_number": "812-345-0492",
            "fax_number": "812-333-0961",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCMICHAEL",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IN",
            "license": "20041347A",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OH",
            "license": "5436",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lisa.jewell.michael@henrycountyhospital.medicity.net",
            "affiliation": "N",
            "address_1": "589 E Riverview Ave",
            "city": "Napoleon",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435451865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lee McKinley, MD
• Sandra Mary McKinney, LCSW, LMFT
• Elizabeth McKnight, RN
• Kyle McLain, LMHC
• Ana Maria McLamb, MA, ATR, LMHC
• Deborah Ann McMillian, MSW, LCSW
• Kari J McMillin
• Maryjane McNabb, M.S.W.
• Terry Lee McNamara
• Daniel Eric McNeely, LCSW

• Clinical Psychologist in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Clinical Psychologist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.