Lisa Cheyette, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY001881 Issued in GA

Practice address

1150 Upper Hembree Rd
Roswell, GA 30076-1142

Phone

(678) 624-0930

Fax

(678) 624-0730

NPI assigned

May 6, 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Caron of Georgia LLC

  dba Caron Atlanta/ Caron Solutions

  • Recovery Care Clinic/Center
  • Atlanta, GA
  • NPI 1386019008
  NPD (past)
• Kenneth C. Frontman, PH.D., PC

  • Clinical Psychologist
  • Roswell, GA
  • NPI 1609138890
  NPD (past)

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

{
    "created_epoch": "1178409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1821200254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 FARM TRAK",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754215",
            "telephone_number": "770-594-6583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 UPPER HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761142",
            "telephone_number": "678-624-0930",
            "fax_number": "678-624-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEYETTE",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-06",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY001881",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00637722D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nikhita Reddy Chennaiah Gari, MD
• Nichole Chenshaw, RBT
• Cherie M Atkins (Flamingo Dental Escape)
• Cheryll Ann Thompson LPC LLC
• Connie Cheung, DPT, MPH, RD/LD
• Children for Dentistry of Roswell, LLC
• Children's Dentistry of Roswell
• Childrens Dental Village, LLC
• Chill Out, LLC
• Cheryl Chineme

• Clinical Psychologist in Roswell, GA
• Providers in Roswell, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.