NPIMap

Organization Active NPI

Lisa J. Grajewski Clinical and Forensic Psychology, Inc

  • Psychologist
  • Irvine, CA
National Provider Identifier
1962888917
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY27053 Issued in CA
Legal business name
LISA J. GRAJEWSKI CLINICAL AND FORENSIC PSYCHOLOGY, INC
Practice address
19772 Macarthur Blvd
Suite 260
Irvine, CA 92612-2413
Phone
(949) 633-5456
NPI assigned
Jul 31, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Authorized official

Name
Dr. Lisa Grajewski, PSY.D.
Title
Principal Psychologist
Phone
(949) 633-5456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X PSY27053 CA Primary

Addresses

Primary practice location

19772 Macarthur Blvd
Suite 260
Irvine, CA 92612-2413

Mailing address

19772 Macarthur Blvd
Suite 260
Irvine, CA 92612-2413
Phone (949) 633-5456

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438300800000",
    "number": "1962888917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19772 MACARTHUR BLVD",
            "address_2": "SUITE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122413",
            "telephone_number": "949-633-5456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19772 MACARTHUR BLVD",
            "address_2": "SUITE 260",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926122413",
            "telephone_number": "949-633-5456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA J. GRAJEWSKI CLINICAL AND FORENSIC PSYCHOLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-07-31",
        "status": "A",
        "authorized_official_last_name": "GRAJEWSKI",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRINCIPAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "949-633-5456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY27053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.