LISA ANNETTE CONWAY PHD
NPI 1023419348
Psychologist - Cognitive & Behavioral in Chicago, IL

Q: What is Lisa Conway's NPI number?

The NPI number for Lisa Conway is 1023419348. It was assigned to this individual provider in the NPPES registry on September 5, 2014. The provider is also known as Lisa Annette Paul Phd.

Q: What is Lisa Conway's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Q: Is Lisa Conway enrolled in Medicare?

No. Lisa Conway has opted out of Medicare through October 9, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Lisa Conway was last updated on January 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 05, 2014Opted out of Medicare · through Oct 9, 2026

213 W INSTITUTE PL STE 500, CHICAGO, IL 60610(312) 471-3910 Get Directions Write a Review

NPPES record last updated: January 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 2, 2026, Oct 3, 2020 (2 updates tracked since 2020).

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About Lisa Annette Conway Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISA ANNETTE CONWAY PHD (NPI 1023419348) is an individual cognitive & behavioral provider in Chicago, Illinois, licensed in Illinois (071.008678) and active in the NPI registry since September 2014. She has opted out of Medicare through October 9, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1023419348

Entity TypeIndividualFemale

Primary Taxonomy103TB0200X

Provider Legal NameLISA ANNETTE CONWAYCredential: PHD

Location Address213 W INSTITUTE PL STE 500Chicago, IL 60610-8792

Mailing Address213 W Institute Pl Ste 500Chicago, IL 60610-8792 · (312) 471-3910

Phone(312) 471-3910

Sole ProprietorNo

Enumeration DateSeptember 5, 2014

Last NPPES UpdateJanuary 2, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 2, 2026

✔ NPI 1023419348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers

Taxonomy Code103TB0200X

License✔ Licensed in IL · 071.008678

Definition

A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 071008678 (IL)

213 W INSTITUTE PL STE 500, Chicago, IL 60610

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Other Names 1

Former Name (1)Lisa Annette Paul Phd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa Annette Conway Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 9, 2020 through October 9, 2026.

Opt-Out Effective DateOctober 9, 2020

Opt-Out In Effect ThroughOctober 9, 2026Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VICTORIA ATWATER

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