Lisa Jeaneen Grajewski, PSY.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY27053 Issued in CA

Practice address

19800 Macarthur Blvd Ste 300
Irvine, CA 92612-2479

Phone

(949) 633-5456

NPI assigned

Sep 2, 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1669789343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19800 MACARTHUR BLVD STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122479",
            "telephone_number": "949-633-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19800 MACARTHUR BLVD STE 300",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122479",
            "telephone_number": "949-633-5456"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19772 MacArthur Blvd Ste 260",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926122412",
            "country_code": "US",
            "telephone_number": "949-633-5456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRAJEWSKI",
        "first_name": "LISA",
        "middle_name": "JEANEEN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-02",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "CA",
            "license": "PSY27053",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Grace
• Alison Lynn Gracom, PA
• Angela Graf, R.N.P.
• Sarah Van Den Hoek Graff, M.D.
• Graham Kemsley, M.D., Inc.
• Nuria L Granados, SLPA
• Laurie Cope Grand, MS LMFT
• Hege Grande Sarpa, MD
• Sergei Grando, MD, PHD, DSCI
• David Eric Grant, DDS

• Psychologist in Irvine, CA
• Providers in Irvine, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.