Lisanda Sibongumenzi Mojica, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

4289 Issued in OR

Practice address

470 N Villa Rd
Newberg, OR 97132-1858

Phone

(503) 487-2951

NPI assigned

Sep 5, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Dr. Mojica Therapy LLC

  • Adult Mental Health Clinic/Center
  • Newberg, OR
  • NPI 1063353555
  NPD Authorized official

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

{
    "created_epoch": "1630800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1700554573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 N VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321858",
            "telephone_number": "503-487-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 N VILLA RD",
            "city": "NEWBERG",
            "state": "OR",
            "postal_code": "971321858",
            "telephone_number": "503-487-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOJICA",
        "first_name": "LISANDA",
        "middle_name": "SIBONGUMENZI",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-05",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "4289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Mittelstadt
• MK Podiatry LLC
• Mobile Rehab LLC
• Julie E Mock, DC
• Tracee Elizabeth Mock, PHARMD
• Monae Counseling & Consulting LLC
• Janice Marie Montgomery, RD
• Morgan Montoya
• Jeff Allen Moody, PSY.D.
• Kristina Brittany Moon, D.O.

• Clinical Psychologist in Newberg, OR
• Providers in Newberg, OR by specialty
• Clinical Psychologist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.