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DR. LISA ANN BLEVINS PHD
NPI 1265639678
Psychologist - Clinical in Santa Cruz, CA

Active since June 29, 2007PECOS EnrolledAccepts Medicare Assignment
501 MISSION ST, SUITE 102, SANTA CRUZ, CA 95060(408) 655-6219(408) 288-9824 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Ann Blevins Phd NPPES

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

DR. LISA ANN BLEVINS PHD (NPI 1265639678) is an individual clinical provider in Santa Cruz, California, licensed in California (PSY 14707) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1992).

NPPES Registry Identity

NPI1265639678
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA ANN BLEVINSCredential: PHD
Location Address501 MISSION ST, SUITE 102Santa Cruz, CA 95060-3661
Mailing Address484 E San Fernando StSan Jose, CA 95112-3513 · (408) 794-7592 · Fax (408) 288-9824
Phone(408) 655-6219
Fax(408) 288-9824
Sole ProprietorYes
Medical School CMSOtherGraduated 1992
Enumeration DateJune 29, 2007
Last NPPES UpdateAugust 2, 2013
✔ NPI 1265639678 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 CA · PSY 14707
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.
501 MISSION ST, Santa Cruz, CA 95060
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Other Identifiers 1

Other030334CA · San Jose City Employee Id

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 Ann Blevins Phd 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 ID9830477546
PECOS Enrollment IDI20161101001309
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95060 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
$186.69 typical visit price
range $62.97 – $186.69
Typical copayment $46.67 (range $15.74 – $46.67)
Most-billed visit code 99205
Established Patient
$109.72 typical visit price
range $21.02 – $153.16
Typical copayment $27.43 (range $5.25 – $38.29)
Most-billed visit code 99214
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 6

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

DAVID SCHULKIN MFT 52397
Marriage & Family Therapist
501 MISSION ST, SUITE # 103
SANTA CRUZ, CA 95060
Santa Cruz County (831) 515-8489
LEILANI JEFFERIES L.C.S.W.
Social Worker (Clinical)
501 MISSION ST
SANTA CRUZ, CA 95060
Santa Cruz County (831) 566-9976
CAROLYN VITALE
Marriage & Family Therapist
501 MISSION ST
SANTA CRUZ, CA 95060
Santa Cruz County (831) 460-6462
MS. CATHERINE C CERVANTES LMFT
Marriage & Family Therapist
501 MISSION ST, SUITE 102
SANTA CRUZ, CA 95060
Santa Cruz County (831) 227-3412
HELEN GIFFROW MFT
Counselor (Mental Health)
501 MISSION ST, STE. 103
SANTA CRUZ, CA 95060
Santa Cruz County (708) 680-7108
MRS. KATHLEEN HO LEE MTCM, L.AC
Acupuncturist
501 MISSION ST, SUITE 105
SANTA CRUZ, CA 95060
Santa Cruz County (831) 708-8832

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 Blevins's NPI number?

The NPI number for Lisa Blevins is 1265639678. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Lisa Blevins located?

Lisa Blevins practices at 501 Mission St Suite 102, Santa Cruz, CA 95060. The listed phone number is (408) 655-6219.

What is Lisa Blevins's specialty?

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

Is Lisa Blevins enrolled in Medicare?

Yes. Lisa Blevins 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 Blevins was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.