DR. LISA LAUREN WAJSBLAT PSY.D.
NPI 1447507298
Psychologist in Glen Head, NY

Active since August 11, 2012Opted out of Medicare · through Jun 26, 2028
189 WHEATLEY RD, GLEN HEAD, NY 11545(516) 686-4440(516) 686-4439 Get Directions Write a Review

NPPES record last updated: August 11, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Lauren Wajsblat Psy.d. NPPES

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

DR. LISA LAUREN WAJSBLAT PSY.D. (NPI 1447507298) is an individual psychologist in Glen Head, New York and active in the NPI registry since August 2012. She has opted out of Medicare through June 26, 2028.

NPPES Registry Identity

NPI1447507298
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA LAUREN WAJSBLATCredential: PSY.D.
Location Address189 WHEATLEY RDGlen Head, NY 11545-2641
Mailing Address1 Vincent Rd, Apt 2oBronxville, NY 10708-6518 · (917) 613-0160
Fax(516) 686-4439
Sole ProprietorYes
Enumeration DateAugust 11, 2012
NPI 1447507298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
189 WHEATLEY RD, Glen Head, NY 11545

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Lisa Lauren Wajsblat Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 26, 2024 through June 26, 2028.

Opt-Out Effective DateJune 26, 2024
Opt-Out In Effect ThroughJune 26, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

Dietitian, Registered
189 WHEATLEY RD
GLEN HEAD, NY 11545
Occupational Therapy Assistant
189 WHEATLEY RD
GLEN HEAD, NY 11545
Registered Nurse (School)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Clinic/Center (Federally Qualified Health Center (FQHC))
189 WHEATLEY RD
BROOKVILLE, NY 11545
Registered Nurse (School)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Registered Nurse (School)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Occupational Therapist (Pediatrics)
189 WHEATLEY RD
GLEN HEAD, NY 11545
Speech-Language Pathologist
189 WHEATLEY RD
GLEN HEAD, NY 11545

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 Wajsblat's NPI number?

The NPI number for Lisa Wajsblat is 1447507298. It was assigned to this individual provider in the NPPES registry on August 11, 2012.

Where is Lisa Wajsblat located?

Lisa Wajsblat practices at 189 Wheatley Rd, Glen Head, NY 11545. The listed phone number is (516) 686-4440.

What is Lisa Wajsblat's specialty?

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

Is Lisa Wajsblat enrolled in Medicare?

No. Lisa Wajsblat has opted out of Medicare through June 26, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Wajsblat was last updated on August 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.