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LISA RUSSO PETTIGREW RSMT, PHD. CANDIDATE
NPI 1356128029
Psychoanalyst in Crestline, CA

Active since September 14, 2023
340 S STATE HIGHWAY 138, CRESTLINE, CA 92325(909) 336-3330 Get Directions Write a Review

NPPES record last updated: February 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 6, 2025, Dec 11, 2023 (2 updates tracked since 2023).

About Lisa Russo Pettigrew Rsmt, Phd. Candidate NPPES

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

LISA RUSSO PETTIGREW RSMT, PHD. CANDIDATE (NPI 1356128029) is an individual psychoanalyst provider in Crestline, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1356128029
Entity TypeIndividualFemale
Primary Taxonomy102L00000X
Provider Legal NameLISA RUSSO PETTIGREWCredential: RSMT, PHD. CANDIDATE
Location Address340 S STATE HIGHWAY 138Crestline, CA 92325-9153
Mailing AddressPo Box 6300Crestline, CA 92325-6300 · (909) 336-3330
Phone(909) 336-3330
Sole ProprietorNo
Enumeration DateSeptember 14, 2023
Last NPPES UpdateFebruary 6, 20252 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2025
✔ NPI 1356128029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychoanalystBehavioral Health & Social Service Providers
Taxonomy Code102L00000X
Definition
Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.
Also ListedCommunity Health WorkerTaxonomy 172V00000X
340 S STATE HIGHWAY 138, Crestline, CA 92325
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Other Providers at the Same Location NPPES

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

SHEENA RAE BARCENAS
Counselor (Mental Health)
340 S STATE HIGHWAY 138
CRESTLINE, CA 92325
San Bernardino County (909) 336-3330

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 Pettigrew's NPI number?

The NPI number for Lisa Pettigrew is 1356128029. It was assigned to this individual provider in the NPPES registry on September 14, 2023.

Where is Lisa Pettigrew located?

Lisa Pettigrew practices at 340 S State Highway 138, Crestline, CA 92325. The listed phone number is (909) 336-3330.

What is Lisa Pettigrew's specialty?

The primary specialty registered for this NPI is Psychoanalyst with taxonomy code 102L00000X.

When was this NPI record last updated?

The NPPES record for Lisa Pettigrew was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.