Individual provider Active NPI

Lisa Christine Obermeit, PHD

  • Clinical Psychologist
  • Encinitas, CA
National Provider Identifier
1922533124
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
31850 Issued in CA
Practice address
1016 2ND St
Encinitas, CA 92024-5006
Phone
(858) 329-0258
NPI assigned
Apr 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 31850 CA Primary

Addresses

Primary practice location

1016 2ND St
Encinitas, CA 92024-5006

Mailing address

1016 2ND St
Encinitas, CA 92024-5006
Phone (858) 329-0258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230530001832 CA Practitioner - Clinical Psychologist 0648637025 Practice locations: Encinitas, CA; San Diego, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of California, San Diego School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1016 2ND St
Encinitas, CA 92024-5006
Phone (858) 329-0258

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31850CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark W. Bondi, PHD, Abpp-CN, Psychologist, Apc PastSince Aug 7, 2022 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1922533124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245006",
            "telephone_number": "858-329-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 2ND ST",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245006",
            "telephone_number": "858-329-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBERMEIT",
        "first_name": "LISA",
        "middle_name": "CHRISTINE",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-25",
        "last_updated": "2022-08-03",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "31850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.