Lisa A. Day, PHD
Individual provider Active NPI Clinical Psychologist · Ketchum, ID
NPI 1790866366 · NPPES record last updated Mar 17, 2025
Key facts
- NPI
- 1790866366
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PSY202748 (ID)
- Practice address
- 180 1St St W
Ketchum, ID 83340-0100 - Phone
- (208) 720-9342
- Fax
- (208) 726-6467
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
- Opted out of Medicare
- Yes, effective Oct 25, 2018 through Oct 25, 2026
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY202748 | ID | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meier Clinics of California, Inc. | Past | Accepting new patients | |
| Meier Clinics of California Inc | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY202748 | ID | Yes |
Addresses
Primary practice location
180 1St St W
Ketchum, ID 83340-0100
Mailing address
PO Box 4975
Hailey, ID 83333-4975
Phone (208) 720-9342
Other providers in Ketchum, ID
- Catherine Cox
- Colleen Ann Coyne
- Peter Curran
- Martha M Curry
- Darsons Group Inc
- Ricardo Evaristo Delgado
- Nancy Dettori
- Kelly Dilorenzo
- John Driscoll
- Karoline A Droege
All providers in Ketchum, ID · Clinical Psychologist in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.