MR. ROSS LISMAN JR. PHD
NPI 1104375419
Psychologist - Clinical in San Dimas, CA

Q: What is Ross Lisman's NPI number?

The NPI number for Ross Lisman is 1104375419. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Q: What is Ross Lisman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: When was this NPI record last updated?

The NPPES record for Ross Lisman was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 27, 2016

304 BEECHWOOD LN, SAN DIMAS, CA 91773(614) 205-8454 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2022, Sep 27, 2016 (2 updates tracked since 2016).

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About Mr. Ross Lisman Jr. Phd NPPES

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

MR. ROSS LISMAN JR. PHD (NPI 1104375419) is an individual clinical provider in San Dimas, California, licensed in California (32416) and active in the NPI registry since September 2016. He maintains a secondary practice location in Pasadena.

NPPES Registry Identity

NPI1104375419

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameMR. ROSS LISMAN JR.Credential: PHD

Location Address304 BEECHWOOD LNSan Dimas, CA 91773-3605

Mailing AddressPo Box 4153San Dimas, CA 91773-8153

Phone(614) 205-8454

Sole ProprietorNo

Enumeration DateSeptember 27, 2016

Last NPPES UpdateDecember 21, 20222 updates tracked since enumeration

NPPES CertifiedDecember 21, 2022

✔ NPI 1104375419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in CA · 32416

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

304 BEECHWOOD LN, San Dimas, CA 91773

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Secondary Practice Location 1

Location 1180 N Oakland AvePasadena, CA 91101-1714 · Phone (626) 584-5555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ross Lisman's NPI number?

The NPI number for Ross Lisman is 1104375419. It was assigned to this individual provider in the NPPES registry on September 27, 2016.

Where is Ross Lisman located?

Ross Lisman practices at 304 Beechwood Ln, San Dimas, CA 91773. The listed phone number is (614) 205-8454.

What is Ross Lisman's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Ross Lisman was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.