Lisa Marlene Hoffort, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY21572 Issued in CA

Practice address

595 E Colorado Blvd
Suite 610
Pasadena, CA 91101-2053

Phone

(818) 430-3054

NPI assigned

Jul 23, 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

Practice roles

Locations

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.

• Lisa Hoffort, PSYD, Psychologist, Inc

  • Community/Behavioral Health Agency
  • Pasadena, CA
  • NPI 1285446161
  NPD Authorized official

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1851591325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD",
            "address_2": "SUITE 610",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012053",
            "telephone_number": "818-430-3054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD",
            "address_2": "SUITE 610",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012053",
            "telephone_number": "818-430-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFORT",
        "first_name": "LISA",
        "middle_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY21572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony J Hodshire
• Matthew Hoekstra, DPT
• Antonia Hoel, PSY
• Cameron Michael Hofer, DPT
• Mark Andrew Hoffman, M.D.
• Melissa Ann Hofstetter, PH.D., M.DIV.
• Laura Jean Hogan-Reyes, OTR/L, SWC
• Ki W Hoh, DDS
• Erica Mia Hoitsma
• Sara Hoke

• Clinical Psychologist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.