Individual provider Active NPI

Lisa R Query, PHD

  • Clinical Psychologist
  • Williamsburg, VA
National Provider Identifier
1780133801
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004015 Issued in VA
Practice address
501 Prince George St
Suite 206
Williamsburg, VA 23185-3664
Phone
(757) 784-1422
Fax
(757) 819-0537
NPI assigned
Sep 30, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004015 VA Primary

Addresses

Primary practice location

501 Prince George St
Suite 206
Williamsburg, VA 23185-3664

Mailing address

501 Prince George St
Suite 206
Williamsburg, VA 23185-3664
Phone (757) 784-1422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810004015VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lisa R Query PHD LCP PLLC Clinical Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1780133801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 PRINCE GEORGE ST",
            "address_2": "SUITE 206",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853664",
            "telephone_number": "757-784-1422",
            "fax_number": "757-819-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 PRINCE GEORGE ST",
            "address_2": "SUITE 206",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231853664",
            "telephone_number": "757-784-1422",
            "fax_number": "757-819-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUERY",
        "first_name": "LISA",
        "middle_name": "R",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.