MICHAEL HENRY LISIAK MD
NPI 1104878842
Psychiatry & Neurology - Psychiatry in Atascadero, CA

Q: What is Michael Lisiak's NPI number?

The NPI number for Michael Lisiak is 1104878842. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Q: What is Michael Lisiak's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Michael Lisiak was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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 May 17, 2006PECOS Enrolled

10333 EL CAMINO REAL, ATASCADERO, CA 93423(805) 468-2000(805) 466-6011 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

On this page

About Michael Henry Lisiak Md NPPES

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

MICHAEL HENRY LISIAK MD (NPI 1104878842) is an individual psychiatry provider in Atascadero, California, licensed in California (A050175) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104878842

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameMICHAEL HENRY LISIAKCredential: MD

Location Address10333 EL CAMINO REALAtascadero, CA 93423-7001

Mailing Address1600 9th Street, Room 205 Mailstop 2-3Sacramento, CA 95814-6414 · (916) 654-2431 · Fax (916) 654-3186

Phone(805) 468-2000

Fax(805) 466-6011

Sole ProprietorNo

Enumeration DateMay 17, 2006

Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration

✔ NPI 1104878842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in CA · A050175

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License A050175 (CA)

10333 EL CAMINO REAL, Atascadero, CA 93423

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Henry Lisiak Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Michael Lisiak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Department Of State Hospitals

Same address

Psychiatric Hospital

10333 EL CAMINO REAL
Atascadero, CA 93422

Reassigned Medicare billing, California enrollment
755 clinicians in this Medicare group

NPI 1174573802 (805) 468-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93423 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$178.89 typical visit price

range $59.84 – $178.89

Typical copayment $44.72 (range $14.96 – $44.72)

Most-billed visit code 99205

Established Patient

$74.24 typical visit price

range $19.70 – $146.55

Typical copayment $18.56 (range $4.92 – $36.63)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JEFFREY FRANZ TEUBER PHD

Psychologist (Intellectual and Developmental Disabilities)