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DR. LISA FOWLER PSY.D.
NPI 1457501629
Psychologist - Clinical in Oakland, CA

Active since September 24, 2008PECOS EnrolledAccepts Medicare Assignment
3779 PIEDMONT AVE, OAKLAND, CA 94611(510) 752-7149 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 3, 2022, Dec 14, 2021 (2 updates tracked since 2021).

About Dr. Lisa Fowler Psy.d. NPPES

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

DR. LISA FOWLER PSY.D. (NPI 1457501629) is an individual clinical provider in Oakland, California, licensed in California (PSY22133) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1457501629
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA FOWLERCredential: PSY.D.
Location Address3779 PIEDMONT AVEOakland, CA 94611-5347
Mailing Address3779 Piedmont AveOakland, CA 94611-5347 · (510) 752-7149
Phone(510) 752-7149
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateSeptember 24, 2008
Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration
NPPES CertifiedDecember 14, 2021
✔ NPI 1457501629 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 · PSY22133
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.
3779 PIEDMONT AVE, Oakland, CA 94611
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Lisa Fowler Psy.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 ID1951544618
PECOS Enrollment IDI20130827000983
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.

Medicare Billing Reassignment

Medicare enrollment records show Lisa Fowler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
9.7 mi
Internal Medicine
901 NEVIN
Richmond, CA 94801
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1235226531 (510) 307-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94611 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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 5

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

BENJAMIN A GERSTEIN M.S. CCC-SLP
Speech-Language Pathologist
3779 PIEDMONT AVE
OAKLAND, CA 94611
Alameda County (510) 752-6823
TYLER MACY M.D.
Student in an Organized Health Care Education/Training Program
3779 PIEDMONT AVE
OAKLAND, CA 94611
Alameda County (510) 752-1115
GAEA S. MOORE MD
Obstetrics & Gynecology
3779 PIEDMONT AVE
OAKLAND, CA 94611
Alameda County (510) 752-6278
MR. DANIEL GEER LCSW
Social Worker (Clinical)
3779 PIEDMONT AVE, SUITE G-41
OAKLAND, CA 94611
Alameda County (510) 752-5135
LENORE ELLEN ARNOUX RNC, NP III
Nurse Practitioner (Women's Health)
3779 PIEDMONT AVE
OAKLAND, CA 94611
Alameda County (510) 752-6101

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 Fowler's NPI number?

The NPI number for Lisa Fowler is 1457501629. It was assigned to this individual provider in the NPPES registry on September 24, 2008.

Where is Lisa Fowler located?

Lisa Fowler practices at 3779 Piedmont Ave, Oakland, CA 94611. The listed phone number is (510) 752-7149.

What is Lisa Fowler's specialty?

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

Is Lisa Fowler enrolled in Medicare?

Yes. Lisa Fowler 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.

Which organization bills Medicare for Lisa Fowler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Fowler reassigns Medicare benefits to Permanente Medical Group Inc (Richmond, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Fowler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Fowler was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.