Lisa Marie Yannucci, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35S100549400 Issued in NJ

Practice address

215 Gordons Corner Rd Ste 2F
Manalapan, NJ 07726-3352

Phone

(732) 898-0477

Fax

(732) 898-0477

NPI assigned

Jan 5, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1801126396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 GORDONS CORNER RD STE 2F",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263352",
            "telephone_number": "732-898-0477",
            "fax_number": "732-898-0477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 GORDONS CORNER RD STE 2F",
            "city": "MANALAPAN",
            "state": "NJ",
            "postal_code": "077263352",
            "telephone_number": "732-898-0477",
            "fax_number": "732-898-0477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YANNUCCI",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00549400",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35S100549400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Psychologist in Manalapan, NJ
• Providers in Manalapan, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.