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DR. LISA MORAN PH.D.
NPI 1386030963
Clinical Neuropsychologist in Albuquerque, NM

Active since April 10, 2015
4477 IRVING BLVD NW STE B, ALBUQUERQUE, NM 87114(505) 221-6214(505) 298-4737 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2026, Nov 24, 2025, Jun 23, 2025 and 2 more (5 updates tracked since 2019).

About Dr. Lisa Moran Ph.d. NPPES

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

DR. LISA MORAN PH.D. (NPI 1386030963) is an individual clinical neuropsychologist in Albuquerque, New Mexico, licensed in New Mexico (PSY-2024-0071) and active in the NPI registry since April 2015. She maintains a secondary practice location in Albuquerque.

NPPES Registry Identity

NPI1386030963
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LISA MORANCredential: PH.D.
Location Address4477 IRVING BLVD NW STE BAlbuquerque, NM 87114-5529
Mailing Address4477 Irving Blvd Nw Ste BAlbuquerque, NM 87114-5529 · (505) 221-6214 · Fax (505) 298-4737
Phone(505) 221-6214
Fax(505) 298-4737
Sole ProprietorNo
Enumeration DateApril 10, 2015
Last NPPES UpdateJanuary 9, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1386030963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
Licenses✔ Licensed in NM · PSY-2024-0071✔ Licensed in CA · 26724
Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

4477 IRVING BLVD NW STE B, Albuquerque, NM 87114
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Secondary Practice Location 1

Location 16300 Riverside Plaza Ln NW Ste 100Albuquerque, NM 87120-1908 · Phone (505) 221-6214

Other Providers at the Same Location NPPES 5

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

MS. DEBRA JOY JACCARD PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4477 IRVING BLVD NW STE B
ALBUQUERQUE, NM 87114
Bernalillo County (505) 228-2853
MCCALL WELLNESS LLC
Community/Behavioral Health
4477 IRVING BLVD NW STE B
ALBUQUERQUE, NM 87114
Bernalillo County (505) 550-9366
JENNIFER HOPE FAILLA LPCC
Counselor (Mental Health)
4477 IRVING BLVD NW STE B
ALBUQUERQUE, NM 87114
Bernalillo County (575) 933-1978
SUNRISE PEDIATRIC NEUROPSYCHOLOGY, LLC
Clinical Neuropsychologist
4477 IRVING BLVD NW STE B
ALBUQUERQUE, NM 87114
Bernalillo County (505) 221-6214
MARLINA CHARISSE MCCALL LPCC
Counselor (Professional)
4477 IRVING BLVD NW STE B
ALBUQUERQUE, NM 87114
Bernalillo County (505) 550-9366

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 Moran's NPI number?

The NPI number for Lisa Moran is 1386030963. It was assigned to this individual provider in the NPPES registry on April 10, 2015.

Where is Lisa Moran located?

Lisa Moran practices at 4477 Irving Blvd NW Ste B, Albuquerque, NM 87114. The listed phone number is (505) 221-6214.

What is Lisa Moran's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

When was this NPI record last updated?

The NPPES record for Lisa Moran was last updated on January 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.