Lisa Kerri Willis, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

014419 Issued in NY

Practice address

1325 Mount Hope Ave
University of Rochester Ucc
Rochester, NY 14620-3991

Phone

(585) 275-3113

Fax

(585) 442-0815

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• University of Rochester

  • Internal Medicine Physician
  • Rochester, NY
  • NPI 1821152588
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1619912649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 270356",
            "address_2": "UNIVERSITY OF ROCHESTER UCC",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146270356",
            "telephone_number": "585-275-3113",
            "fax_number": "585-442-0815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 MOUNT HOPE AVE",
            "address_2": "UNIVERSITY OF ROCHESTER UCC",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146203991",
            "telephone_number": "585-275-3113",
            "fax_number": "585-442-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS",
        "first_name": "LISA",
        "middle_name": "KERRI",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "014419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zachary Daniel Williamson, DO
• Daniel J Williford, M.D.
• Stephanie Mrowka Willing, PA
• Jeffrey A Willis, PA
• Lakeisha Deon Willis
• Misty Lynn Willis, FNP
• Jennifer Louise Willison, R.N. N.P.
• Allen Paul Willistein, PA
• Sara K Willistein, PA-C
• Erika Williston

• Psychologist in Rochester, NY
• Providers in Rochester, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.