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DR. LISA A LEADBETTER PH.D.
NPI 1609081025
Psychologist - Clinical Child & Adolescent in Minneapolis, MN

Active since May 11, 2007
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414(612) 331-9413(612) 728-5301 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa A Leadbetter Ph.d. NPPES

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

DR. LISA A LEADBETTER PH.D. (NPI 1609081025) is an individual clinical child & adolescent provider in Minneapolis, Minnesota, licensed in Minnesota (LP4480) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1609081025
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. LISA A LEADBETTERCredential: PH.D.
Location Address3333 UNIVERSITY AVE SEMinneapolis, MN 55414-3325
Mailing Address4371 Yorktown DrEagan, MN 55123-3030 · (651) 452-1028
Phone(612) 331-9413
Fax(612) 728-5301
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1609081025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in MN · LP4480
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License LP4480 (MN)
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License LP4480 (MN)
3333 UNIVERSITY AVE SE, Minneapolis, MN 55414
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Other Names 1

Other Name (5)Lisa Leadbetter Eisele Ph.d.

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.

LYDIA SHULL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MYSTIC MAKEPEACE
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 767-7222
FATIMA MUHUDIN ALI
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 475-9231
MICAH ALICIA HERNDON
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (201) 589-3367
CHLOE MARGO SARGENT
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
MATTHEW LAUREN POWELL
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
JAMONDA KELLY
Behavior Technician
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413
ASHLEY LYNN WITT LPCC
Counselor (Professional)
3333 UNIVERSITY AVE SE
MINNEAPOLIS, MN 55414
Hennepin County (612) 331-9413

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 Leadbetter's NPI number?

The NPI number for Lisa Leadbetter is 1609081025. It was assigned to this individual provider in the NPPES registry on May 11, 2007. The provider is also known as Lisa Leadbetter Eisele Ph.D..

Where is Lisa Leadbetter located?

Lisa Leadbetter practices at 3333 University Ave SE, Minneapolis, MN 55414. The listed phone number is (612) 331-9413.

What is Lisa Leadbetter's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Lisa Leadbetter was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.