DR. LISA SUSANNE POWELL PSYCHOLOGIST
NPI 1578822219
Psychologist in Sherman Oaks, CA

Active since May 15, 2012Opted out of Medicare · through Mar 3, 2027
15235 BURBANK BLVD, SUITE B4, SHERMAN OAKS, CA 91411(818) 324-6533 Get Directions Write a Review

NPPES record last updated: May 15, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Susanne Powell Psychologist NPPES

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

DR. LISA SUSANNE POWELL PSYCHOLOGIST (NPI 1578822219) is an individual psychologist in Sherman Oaks, California, licensed in California (PSY22286) and active in the NPI registry since May 2012. She has opted out of Medicare through March 3, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1578822219
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA SUSANNE POWELLCredential: PSYCHOLOGIST
Location Address15235 BURBANK BLVD, SUITE B4Sherman Oaks, CA 91411-3500
Mailing Address15235 Burbank Blvd, Suite B4Sherman Oaks, CA 91411-3500 · (818) 324-6533
Sole ProprietorYes
Enumeration DateMay 15, 2012
NPI 1578822219 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 CA · PSY22286
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.
15235 BURBANK BLVD, Sherman Oaks, CA 91411

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 Susanne Powell Psychologist 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 March 3, 2017 through March 3, 2027.

Opt-Out Effective DateMarch 3, 2017
Opt-Out In Effect ThroughMarch 3, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 11

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

Marriage & Family Therapist
15235 BURBANK BLVD
VAN NUYS, CA 91411
Social Worker (Clinical)
15235 BURBANK BLVD, SUITE #A2
VAN NUYS, CA 91411
Community/Behavioral Health
15235 BURBANK BLVD, SUITE A3
VAN NUYS, CA 91411
Psychologist (Group Psychotherapy)
15235 BURBANK BLVD, STE A
VAN NUYS, CA 91411
Psychologist (Clinical)
15235 BURBANK BLVD, SUITE A2
VAN NUYS, CA 91411
Marriage & Family Therapist
15235 BURBANK BLVD, SUITE B6
SHERMAN OAKS, CA 91411
Marriage & Family Therapist
15235 BURBANK BLVD, SUITE A3
VAN NUYS, CA 91411
Marriage & Family Therapist
15235 BURBANK BLVD, SUITE B2
VAN NUYS, CA 91411

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 Powell's NPI number?

The NPI number for Lisa Powell is 1578822219. It was assigned to this individual provider in the NPPES registry on May 15, 2012.

Where is Lisa Powell located?

Lisa Powell practices at 15235 Burbank Blvd Suite B4, Sherman Oaks, CA 91411. The listed phone number is (818) 324-6533.

What is Lisa Powell's specialty?

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

Is Lisa Powell enrolled in Medicare?

No. Lisa Powell has opted out of Medicare through March 3, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Powell was last updated on May 15, 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.