Active NPI
Lisa Starr Ma PLLC
- Psychologist
- Dunmore, PA
National Provider Identifier
1932243698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PS-007179-L
- Legal business name
- LISA STARR MA PLLC
- Practice address
- 1141 Clay Ave
Dunmore, PA 18510-1191 - Phone
- (570) 343-3030
- Fax
- (570) 558-0777
- NPI assigned
- Feb 16, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lisa L Starr, M.A.
- Title
- Licensed Psychologist
- Phone
- (570) 587-4835
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS-007179-L | PA | Primary |
Addresses
Primary practice location
1141 Clay Ave
Dunmore, PA 18510-1191
Mailing address
1606 Newton Ransom Blvd
Clarks Summit, PA 18411-9606
Phone (570) 587-4835
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 227931 | Other | PA | MHN |
| 081126 | Other | PA | FIRST PRIORITY HEALTH |
| ST503249 | Other | PA | ACCESSCARE-BLUE SHIELD |
| 820572 | Other | PA | BLUE CROSS OF NORTHEAST P |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychologist
- Dunmore, PA
- NPI 1528109576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1932243698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1606 NEWTON RANSOM BLVD",
"city": "CLARKS SUMMIT",
"state": "PA",
"postal_code": "184119606",
"telephone_number": "570-587-4835",
"fax_number": "570-587-2546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1141 CLAY AVE",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185101191",
"telephone_number": "570-343-3030",
"fax_number": "570-558-0777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LISA STARR MA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-16",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STARR",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
"authorized_official_telephone_number": "570-587-4835",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "M.A."
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS-007179-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "227931",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "081126",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACCESSCARE-BLUE SHIELD",
"identifier": "ST503249",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF NORTHEAST P",
"identifier": "820572",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.