Individual provider Active NPI

Lisa Saponaro, PH.D.

  • Clinical Psychologist
  • Plantation, FL
National Provider Identifier
1750594602
Registry record updated Feb 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7494 Issued in FL
Practice address
7820 Peters Rd Ste E100
Plantation, FL 33324-4019
Phone
(954) 577-0095
Fax
(954) 423-0901
NPI assigned
May 8, 2007
Last updated
Feb 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY7494 FL
Cognitive & Behavioral Psychologist 103TB0200X
Counseling Psychologist 103TC1900X
Clinical Child & Adolescent Psychologist 103TC2200X
Family Psychologist 103TF0000X
Group Psychotherapy Psychologist 103TP2701X
Clinical Psychologist 103TC0700X PY7494 FL Primary

Addresses

Primary practice location

7820 Peters Rd Ste E100
Plantation, FL 33324-4019

Mailing address

1469 NW 129TH Way
Sunrise, FL 33323-2984
Phone (954) 560-9567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20080515000254 FL Practitioner - Clinical Psychologist 8123197225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lisa Saponaro PHD IncGroup PAC ID 1658442173, 2 clinicians

Practice addresses (Care Compare)

7820 Peters Rd
Suite E100
Plantation, FL 33324-4019
Phone (954) 577-0095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa Saponaro PHD Inc Clinical CurrentSince Feb 1, 2008 Accepting new patients

Locations

120 S University Dr
Ste A
Plantation, FL 33324
Phone (954) 577-0095

7820 Peters Rd
Ste E100
Plantation, FL 33324
Phone (954) 577-0095

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1750594602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1469 NW 129TH WAY",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333232984",
            "telephone_number": "954-560-9567",
            "fax_number": "954-423-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7820 PETERS RD STE E100",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333244019",
            "telephone_number": "954-577-0095",
            "fax_number": "954-423-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAPONARO",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY7494",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.