Lisa Ann Stockdale, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY25030 Issued in CA

Practice address

1000 Quail St Ste 260
Newport Beach, CA 92660-2784

Phone

(949) 357-0436

NPI assigned

Jan 31, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Kumkum Patel MD Inc- a Medical Corporation

  • Gastroenterology Physician
  • Tustin, CA
  • NPI 1174396048
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675900800000",
    "number": "1801933437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 SEACOUNTRY LN",
            "city": "RCHO STA MARG",
            "state": "CA",
            "postal_code": "926885564",
            "telephone_number": "805-345-1555",
            "fax_number": "805-345-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 260",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602784",
            "telephone_number": "949-357-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOCKDALE",
        "first_name": "LISA",
        "middle_name": "ANN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2023-02-09",
        "certification_date": "2023-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY25030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey Terrell Stewart
• Jeffrey Lance Stickney, PSY.D.
• Joni Laraine Stier, D.C., L.AC.
• Shayna Lin Stiffler
• Heather L. Stirnus, M.S, LMFT
• Richard Stockmaster, D.C.
• Micah Stoffel
• Susan Winifred Stokes
• Andrea Stokke
• Lara Stolte

• Psychologist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2023; 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.