Individual provider Active NPI

Lisa Lewandowski Wischhusen, MD

  • Psychiatry Physician
  • Greenville, SC
National Provider Identifier
1982645016
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD21097 Issued in SC
Practice address
2094 Woodruff Rd
Greenville, SC 29607-5939
Phone
(864) 676-9211
Fax
(864) 676-9432
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21097 SC
Psychiatry Physician 2084P0800X MD21097 SC Primary

Addresses

Primary practice location

2094 Woodruff Rd
Greenville, SC 29607-5939

Mailing address

2094 Woodruff Rd
Greenville, SC 29607-5939
Phone (864) 676-9211

Other identifiers 1

IdentifierTypeStateIssuer
21097OtherSCSC MEDICAL LIC #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050818000312 SC Practitioner - Psychiatry 2860422961 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
21097SCMDSpecialist
MD21097SCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Jul 1, 2019 Accepting new patients
Psychiatric Associates PA Past Accepting new patients
Piedmont Psychiatric Service PA Psychiatry PastSince Jul 1, 1998 Accepting new patients
Myrtle Beach Counseling Center PastSince Aug 6, 2019 Accepting new patients
Gregory S. Smith & Associates, P.a. PastSince Jun 27, 2011 Accepting new patients

Locations

124 Mallard St
Greenville, SC 29601
Phone (864) 241-1040

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1982645016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2094 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "864-676-9211",
            "fax_number": "864-676-9432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2094 WOODRUFF RD",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296075939",
            "telephone_number": "864-676-9211",
            "fax_number": "864-676-9432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISCHHUSEN",
        "first_name": "LISA",
        "middle_name": "LEWANDOWSKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "21097",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "MD21097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC MEDICAL LIC #",
            "identifier": "21097",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

Verify at the official NPI Registry.