Lisa Perdue, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J0244 Issued in TX

Practice address

1510 N Hampton Rd
#240
Desoto, TX 75115-8301

Phone

(214) 686-0435

Fax

(972) 291-7409

NPI assigned

Dec 21, 2005

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

Other names 1

• Dr. Lisa Perdue Other name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Louisiana State University School of Medicine in New Orleans, 1990

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pecan Valley MHMR RegionGroup PAC ID 4688627706, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Pecan Valley MHMR Region

  • Community/Behavioral Health Agency
  • Granbury, TX
  • NPI 1891915708

  Psychiatry

  Medicare reassignment Care Compare group NPD
• Spindletop MHMR Services

  • Family Medicine Physician
  • Beaumont, TX
  • NPI 1952357550
  Medicare reassignment NPD
• Family and Child Guidance Centers

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1811062367
  Medicare reassignment
• Pecan Valley MHMR Region

  • Primary Care Nurse Practitioner
  • Cleburne, TX
  • NPI 1285342295
  NPD
• Spindletop MHMR Services

  • Mental Health Counselor
  • Beaumont, TX
  • NPI 1467517656
  NPD

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

{
    "created_epoch": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1760468763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 N HAMPTON RD",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158301",
            "telephone_number": "214-686-0435",
            "fax_number": "972-291-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 N HAMPTON RD",
            "address_2": "#240",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158301",
            "telephone_number": "214-686-0435",
            "fax_number": "972-291-7409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERDUE",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-21",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J0244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PERDUE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Psychiatry Physician in Desoto, TX
• Providers in Desoto, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.