Lisa Burklund, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY 27496 Issued in CA

Practice address

1 Harbor Dr Ste 300
Sausalito, CA 94965-1434

Phone

(310) 351-4474

NPI assigned

Sep 22, 2016

Last updated

Jun 21, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1972052694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4370",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949134370",
            "telephone_number": "310-351-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HARBOR DR STE 300",
            "city": "SAUSALITO",
            "state": "CA",
            "postal_code": "949651434",
            "telephone_number": "310-351-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "429 Santa Monica Blvd Ste 460",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904013455",
            "country_code": "US",
            "telephone_number": "310-351-4474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BURKLUND",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY 27496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob Brown, MA
• Laurence Mark Brownstein, D.D.S.
• Emily Brucia, PH.D.
• Bulkley Ventures
• Leigh Allison Burkey, OTR/L
• Robert A. Burton, MD
• Elisabeth G Cain, PA-C
• Christine None Campbell, L.P.
• Clay Campbell, D.D.S.
• Jennifer Caplan, MFT

• Psychologist in Sausalito, CA
• Providers in Sausalito, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.