LISA MARIE MAKUCH PHD
NPI 1548403439
Psychologist - Clinical in Portage, MI

Q: What is Lisa Makuch's NPI number?

The NPI number for Lisa Makuch is 1548403439. It was assigned to this individual provider in the NPPES registry on April 8, 2009.

Q: What is Lisa Makuch's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Makuch was last updated on April 13, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since April 08, 2009

3770 GLENKERRY CT, PORTAGE, MI 49024(269) 329-2887(269) 329-2805 Get Directions Write a Review

NPPES record last updated: April 13, 2009. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Lisa Marie Makuch Phd NPPES

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

LISA MARIE MAKUCH PHD (NPI 1548403439) is an individual clinical provider in Portage, Michigan, licensed in Michigan (6301010149) and active in the NPI registry since April 2009.

NPPES Registry Identity

NPI1548403439

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLISA MARIE MAKUCHCredential: PHD

Location Address3770 GLENKERRY CTPortage, MI 49024-0700

Mailing Address61 Commerce Ave SwGrand Rapids, MI 49503-4124 · (616) 940-0660 · Fax (616) 940-1965

Phone(269) 329-2887

Fax(269) 329-2805

Sole ProprietorNo

Enumeration DateApril 8, 2009

Last NPPES UpdateApril 13, 2009

✔ NPI 1548403439 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 MI · 6301010149

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.

3770 GLENKERRY CT, Portage, MI 49024

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Other Providers at the Same Location NPPES 14

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

MARIA ANNA CSISZAR AGACNP-BC

Nurse Practitioner (Adult Health)