DR. LISA GUNDERSON PHD, LP
NPI 1174327720
Psychologist in La Mesa, CA
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
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Lisa Gunderson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85253
- Reassigned Medicare billing, California enrollment
- 766 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
LA MESA, CA 91942
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.
Which organization bills Medicare for Lisa Gunderson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Gunderson reassigns Medicare benefits to Pacific Coast Psychiatric Associates Inc (Scottsdale, AZ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Gunderson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 15 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.