Individual provider Active NPI

Lisa F. Platt, PH.D.

  • Psychologist
  • Morgantown, WV
National Provider Identifier
1851716633
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
1134 Issued in WV
Practice address
933 Cheat Rd
Morgantown, WV 26508-5631
Phone
(304) 602-7755
NPI assigned
Mar 3, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 1134 WV Primary

Addresses

Primary practice location

933 Cheat Rd
Morgantown, WV 26508-5631

Mailing address

933 Cheat Rd
Morgantown, WV 26508-5631
Phone (304) 602-7755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240801000883 WV Practitioner - Clinical Psychologist 3173060720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stillwater LLCGroup PAC ID 4587089305, 8 clinicians

Practice addresses (Care Compare)

933 Cheat Rd
Morgantown, WV 26508-5631
Phone (304) 554-2292

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1134WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stillwater LLC CurrentSince Jun 20, 2024 Accepting new patients

Locations

933 Cheat Rd
Morgantown, WV 26508
Phone (304) 554-2292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1851716633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 CHEAT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265085631",
            "telephone_number": "304-602-7755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 CHEAT RD",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265085631",
            "telephone_number": "304-602-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATT",
        "first_name": "LISA",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.