Active NPI
Lisa Gaies, PH.D.
- Clinical Psychologist
- Tampa, FL
National Provider Identifier
1952429730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY5292
- Practice address
- 14502 N Dale Mabry Hwy
Suite 200
Tampa, FL 33618-2075 - Phone
- (813) 494-7845
- NPI assigned
- Mar 27, 2007
- Last updated
- Mar 5, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PY5292 | FL | Primary |
Addresses
Primary practice location
14502 N Dale Mabry Hwy
Suite 200
Tampa, FL 33618-2075
Mailing address
14502 N Dale Mabry Hwy
Suite 200
Tampa, FL 33618-2075
Phone (813) 494-7845
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54577 | Other | FL | BLUE CROSS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY5292 | FL | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330905600000",
"number": "1952429730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 N DALE MABRY HWY",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182075",
"telephone_number": "813-494-7845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 N DALE MABRY HWY",
"address_2": "SUITE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182075",
"telephone_number": "813-494-7845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAIES",
"first_name": "LISA",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-27",
"last_updated": "2012-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "FL",
"license": "PY5292",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "54577",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.