Organization Active NPI

Lisa Starr Ma PLLC

  • Psychologist
  • Dunmore, PA
National Provider Identifier
1932243698
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PS-007179-L Issued in PA
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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.NPI 1528109576
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
227931OtherPAMHN
081126OtherPAFIRST PRIORITY HEALTH
ST503249OtherPAACCESSCARE-BLUE SHIELD
820572OtherPABLUE CROSS OF NORTHEAST P

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.