DR. LISA GUNDERSON PHD, LP
NPI 1174327720
Psychologist in La Mesa, CA

Active since April 02, 2025PECOS EnrolledAccepts Medicare Assignment
8881 FLETCHER PKWY STE 350&360, LA MESA, CA 91942(858) 279-1223 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Gunderson Phd, Lp NPPES

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

DR. LISA GUNDERSON PHD, LP (NPI 1174327720) is an individual psychologist in La Mesa, California, licensed in California (19799) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1174327720
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA GUNDERSONCredential: PHD, LP
Location Address8881 FLETCHER PKWY STE 350&360La Mesa, CA 91942-3134
Mailing Address8881 Fletcher Pkwy Ste 350&360La Mesa, CA 91942-3134 · (858) 279-1223
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateApril 2, 2025
Last NPPES UpdateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1174327720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · 19799
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
8881 FLETCHER PKWY STE 350&360, La Mesa, CA 91942

Other Names 1

Former Name (1)Lisa Henry

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Gunderson Phd, Lp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082113121
PECOS Enrollment IDI20250815004222
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.

Other Providers at the Same Location NPPES 10

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

Social Worker (Clinical)
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942
Nurse Practitioner (Psychiatric/Mental Health)
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942
Marriage & Family Therapist
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942
Marriage & Family Therapist
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942
Nurse Practitioner (Psychiatric/Mental Health)
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942
Marriage & Family Therapist
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942
Social Worker (Clinical)
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942
Marriage & Family Therapist
8881 FLETCHER PKWY STE 350&360
LA MESA, CA 91942

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 Lisa Gunderson's NPI number?

The NPI number for Lisa Gunderson is 1174327720. It was assigned to this individual provider in the NPPES registry on April 2, 2025. The provider is also known as Lisa Henry.

Where is Lisa Gunderson located?

Lisa Gunderson practices at 8881 Fletcher Pkwy Ste 350&360, La Mesa, CA 91942. The listed phone number is (858) 279-1223.

What is Lisa Gunderson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lisa Gunderson enrolled in Medicare?

Yes. Lisa Gunderson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Lisa Gunderson was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.