Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA GREY BRIDGEWATER PH.D.
NPI 1366403081
Psychologist in Rock Hill, SC

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment
229 JOHNSTON ST, ROCK HILL, SC 29730(803) 517-0322 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Grey Bridgewater Ph.d. NPPES

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

DR. LISA GREY BRIDGEWATER PH.D. (NPI 1366403081) is an individual psychologist in Rock Hill, South Carolina, licensed in South Carolina (842) and active in the NPI registry since March 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1366403081
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA GREY BRIDGEWATERCredential: PH.D.
Location Address229 JOHNSTON STRock Hill, SC 29730-3579
Mailing AddressPo Box 828Chester, SC 29706-0828 · (803) 517-0322
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 31, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1366403081 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 SC · 842
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.
229 JOHNSTON ST, Rock Hill, SC 29730

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 Grey Bridgewater Ph.d. 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 ID8022105188
PECOS Enrollment IDI20071106000532
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
130 services14 patients

Other Providers at the Same Location NPPES 9

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

Clinical Neuropsychologist
229 JOHNSTON ST
ROCK HILL, SC 29730
Clinic/Center (Mental Health (Including Community Mental Health Center))
229 JOHNSTON ST
ROCK HILL, SC 29730
Counselor
229 JOHNSTON ST
ROCK HILL, SC 29730
Psychologist (Clinical)
229 JOHNSTON ST
ROCK HILL, SC 29730
Counselor (Professional)
229 JOHNSTON ST
ROCK HILL, SC 29730
Counselor (Mental Health)
229 JOHNSTON ST
ROCK HILL, SC 29730
Psychologist (Clinical)
229 JOHNSTON ST
ROCK HILL, SC 29730
Psychologist
229 JOHNSTON ST
ROCK HILL, SC 29730

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 Bridgewater's NPI number?

The NPI number for Lisa Bridgewater is 1366403081. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Lisa Bridgewater located?

Lisa Bridgewater practices at 229 Johnston St, Rock Hill, SC 29730. The listed phone number is (803) 517-0322.

What is Lisa Bridgewater's specialty?

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

Is Lisa Bridgewater enrolled in Medicare?

Yes. Lisa Bridgewater 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 Bridgewater was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.