Active NPI
Lisa Lasater, PH.D.
- Clinical Psychologist
- Austin, TX
National Provider Identifier
1841558384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 2-5825
- Practice address
- 1509 W North Loop Blvd
Austin, TX 78756-2004 - Phone
- (512) 524-5482
- Fax
- (512) 524-1177
- NPI assigned
- May 2, 2012
- Last updated
- May 2, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 2-5825 | TX | |
| Clinical Psychologist | 103TC0700X | 2-5825 | TX | Primary |
| Counseling Psychologist | 103TC1900X | 2-5825 | TX | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 2-5825 | TX |
Addresses
Primary practice location
1509 W North Loop Blvd
Austin, TX 78756-2004
Mailing address
1509 W North Loop Blvd
Austin, TX 78756-2004
Phone (512) 524-5482
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2-5825 | TX | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Social and Recreation Services, LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Austin, TX
- NPI 1770877342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335916800000",
"number": "1841558384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1509 W NORTH LOOP BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787562004",
"telephone_number": "512-524-5482",
"fax_number": "512-524-1177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1509 W NORTH LOOP BLVD",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787562004",
"telephone_number": "512-524-5482",
"fax_number": "512-524-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LASATER",
"first_name": "LISA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-02",
"last_updated": "2012-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "TX",
"license": "2-5825",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "2-5825",
"primary": true
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "TX",
"license": "2-5825",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "TX",
"license": "2-5825",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.