LISA TULLY
NPI 1235539784
Psychologist in Santa Ana, CA

Active since September 02, 2014PECOS Enrolled
2500 REDHILL AVE, STE 290A, SANTA ANA, CA 92705(949) 267-0201(949) 267-0299 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2022, May 31, 2019 (2 updates tracked since 2019).

About Lisa Tully NPPES

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

LISA TULLY (NPI 1235539784) is an individual psychologist in Santa Ana, California, licensed in California (PSY26013) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235539784
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameLISA TULLY
Location Address2500 REDHILL AVE, STE 290ASanta Ana, CA 92705-5518
Mailing Address10725 International DrRancho Cordova, CA 95670-7967 · (949) 267-0201 · Fax (949) 267-0299
Fax(949) 267-0299
Sole ProprietorNo
Enumeration DateSeptember 2, 2014
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
✔ NPI 1235539784 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 · PSY26013
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.
2500 REDHILL AVE, Santa Ana, CA 92705

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Tully 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 Reassignments

2

Medicare enrollment records show Lisa Tully reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pediatrics
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 143 clinicians in this Medicare group
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 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 20

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

Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705
Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705
Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705
Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705
Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705
Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705
Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705
Behavior Technician
2500 REDHILL AVE
SANTA ANA, CA 92705

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 Tully's NPI number?

The NPI number for Lisa Tully is 1235539784. It was assigned to this individual provider in the NPPES registry on September 2, 2014.

Where is Lisa Tully located?

Lisa Tully practices at 2500 Redhill Ave Ste 290A, Santa Ana, CA 92705. The listed phone number is (949) 267-0201.

What is Lisa Tully's specialty?

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

Is Lisa Tully enrolled in Medicare?

Yes. Lisa Tully is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Lisa Tully's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Tully reassigns Medicare benefits to 2 organizations: Uc Regents Uci Dept Of Pediatrics (Orange, CA) and Permanente Medical Group Inc (Santa Clara, CA). Each 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 Tully'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 Tully was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.