Individual provider Active NPI

Lisa Barnes Lainer, PHD

  • Psychologist
  • Los Angeles, CA
National Provider Identifier
1902073398
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY14680 Issued in CA
Practice address
2566 Overland Ave
Suite 500B
Los Angeles, CA 90064-3366
Phone
(310) 967-5041
Fax
(310) 204-5721
NPI assigned
May 14, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1098 NV
Clinical Psychologist 103TC0700X 3492 OR
Psychologist 103T00000X PSY14680 CA Primary

Addresses

Primary practice location

2566 Overland Ave
Suite 500B
Los Angeles, CA 90064-3366

Mailing address

2566 Overland Ave Ste 780
Los Angeles, CA 90064-3371
Phone (424) 744-3774

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

LicenseStateTypeSpecialty
PSY14680CAMDPsychologist
1098NVMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1210723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1902073398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 OVERLAND AVE STE 780",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643371",
            "telephone_number": "424-744-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 OVERLAND AVE",
            "address_2": "SUITE 500B",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900643366",
            "telephone_number": "310-967-5041",
            "fax_number": "310-204-5721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAINER",
        "first_name": "LISA",
        "middle_name": "BARNES",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-14",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NV",
            "license": "1098",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "OR",
            "license": "3492",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY14680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.