DR. LISA ANLLO PH.D. - NPI 1174647044 - Psychologist in Buffalo, NY

Q: What is Lisa Anllo's NPI number?

The NPI number for Lisa Anllo is 1174647044. It was assigned to this individual provider in the NPPES registry on March 18, 2007.

Q: What is Lisa Anllo's specialty?

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

Q: Is Lisa Anllo enrolled in Medicare?

No. Lisa Anllo has opted out of Medicare through September 21, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Anllo was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

On this page

About Dr. Lisa Anllo Ph.d. NPPES

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

DR. LISA ANLLO PH.D. (NPI 1174647044) is an individual clinical provider in Buffalo, New York, licensed in New York (013139) and active in the NPI registry since March 2007. She has opted out of Medicare through September 21, 2026.

NPPES Registry Identity

NPI1174647044

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA ANLLOCredential: PH.D.

Location Address406 LINWOOD AVEBuffalo, NY 14209-1629

Mailing Address406 Linwood AveBuffalo, NY 14209-1629 · (716) 886-7304 · Fax (716) 886-7398

Phone(716) 886-7304

Fax(716) 886-7398

Sole ProprietorYes

Enumeration DateMarch 18, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1174647044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NY · 013139

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.

406 LINWOOD AVE, Buffalo, NY 14209

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Anllo Ph.d. 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 September 21, 2022 through September 21, 2026.

Opt-Out Effective DateSeptember 21, 2022

Opt-Out In Effect ThroughSeptember 21, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

MR. MICHAEL ANTHONY EVOLA MSW

Social Worker (Clinical)