Lisa Dyan Walsh, PHD, LCP

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

932 Issued in KS

Practice address

508 Cherokee St
Leavenworth, KS 66048-2626

Phone

(913) 206-8154

Fax

(913) 273-4559

NPI assigned

Sep 2, 2011

Last updated

May 24, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Autism, Behavior, and Psychological Services

  • Psychologist
  • Leavenworth, KS
  • NPI 1609274430
  NPD Authorized official

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

{
    "created_epoch": "1314921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1962783092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13115 W 74TH ST",
            "city": "SHAWNEE",
            "state": "KS",
            "postal_code": "662164412",
            "telephone_number": "913-206-8154",
            "fax_number": "913-273-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 CHEROKEE ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660482626",
            "telephone_number": "913-206-8154",
            "fax_number": "913-273-4559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "LISA",
        "middle_name": "DYAN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-02",
        "last_updated": "2022-05-24",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "KS",
            "license": "932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1609274430",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL PSYCHOTHERAPIST",
            "identifier": "932",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katheryn Walker
• Paul Richard Walker, R.PH.
• Sarah Wallace
• Marilyn Walls
• Walmart Inc.
• W. Dean Walton, D.D.S.
• Frances Karen Ward, RN
• William A Warnes, MD
• Morgan Watowa
• Wealcan LLC

• Clinical Psychologist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Clinical Psychologist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.