Individual provider Active NPI

Lisa B Ensfield, PHD

  • Clinical Psychologist
  • Ann Arbor, MI
National Provider Identifier
1821172644
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
6301010686 Issued in MI
Practice address
3120 Professional Dr
Ann Arbor, MI 48104-5131
Phone
(734) 677-6500
NPI assigned
Oct 25, 2006
Last updated
May 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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 6301010686 MI Primary

Addresses

Primary practice location

3120 Professional Dr
Ann Arbor, MI 48104-5131

Mailing address

3120 Professional Dr
Ann Arbor, MI 48104-5131
Phone (734) 677-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040624000046 MI Practitioner - Clinical Psychologist 5799760534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Merion Square Road Medical PCGroup PAC ID 0446605422, 22 clinicians

Practice addresses (Care Compare)

1856 Samer Rd
Milan, MI 48160-9575
Phone (646) 598-8338

4723 Fayetteville Rd
Suite 22
Durham, NC 27713-8901
Phone (646) 598-8338

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
6301010686MIMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mhni Sleep Medicine PC Current Accepting new patients
Merion Square Road Medical PC CurrentSince May 12, 2024 Accepting new patients
Kevin H Weiner, MD, PC PastSince Jun 22, 2026 Accepting new patients
Chelsea Community Hospital Clinical Past Accepting new patients
Michigan Pain Specialists, PLLC Past Accepting new patients
St Joseph Mercy Chelsea Inc Past Accepting new patients

Locations

6421 N Florida Ave
Tampa, FL 33604
Phone (813) 305-2867

3343 Peachtree Rd NE
Ste 145
Atlanta, GA 30326
Phone (267) 702-6518

64 Central Ave W
Edgewater, MD 21037
Phone (240) 718-8255

3120 Professional Dr
Ann Arbor, MI 48104
Phone (734) 677-6000

775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764

4723 Fayetteville Rd
Durham, NC 27713

1181 Nixon Dr
Moorestown, NJ 08057
Phone (267) 235-0059

963 Post Ave
Staten Island, NY 10302
Phone (718) 442-4422

6059 Allentown Blvd
Harrisburg, PA 17112
Phone (717) 208-2215

3333 Preston Rd
Ste 300
Frisco, TX 75034
Phone (410) 449-9142

2003 Plank Rd
Fredericksburg, VA 22401
Phone (434) 235-9526

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367366400000",
    "number": "1821172644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 PROFESSIONAL DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045131",
            "telephone_number": "734-677-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3120 PROFESSIONAL DR",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481045131",
            "telephone_number": "734-677-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENSFIELD",
        "first_name": "LISA",
        "middle_name": "B",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2013-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301010686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.