LISA MICHELLE SUGERMAN-HERMANSEN PHD
NPI 1619287208
Clinical Neuropsychologist in Salt Lake City, UT

Q: What is Lisa Sugerman-hermansen's NPI number?

The NPI number for Lisa Sugerman-hermansen is 1619287208. It was assigned to this individual provider in the NPPES registry on October 15, 2010. The provider is also known as Lisa Michelle Sugerman Phd.

Q: What is Lisa Sugerman-hermansen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Active since October 15, 2010PECOS Enrolled

3838 S 700 E STE 101, SALT LAKE CITY, UT 84106(801) 716-4284(801) 433-0691 Get Directions Write a Review

NPPES record last updated: October 29, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lisa Michelle Sugerman-hermansen Phd NPPES

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

LISA MICHELLE SUGERMAN-HERMANSEN PHD (NPI 1619287208) is an individual clinical neuropsychologist in Salt Lake City, Utah, licensed in Utah (6278375-2501) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619287208

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameLISA MICHELLE SUGERMAN-HERMANSENCredential: PHD

Location Address3838 S 700 E STE 101Salt Lake City, UT 84106-1494

Mailing Address3838 S 700 E Ste 101Salt Lake City, UT 84106-1494 · (801) 716-4284 · Fax (801) 433-0691

Phone(801) 716-4284

Fax(801) 433-0691

Sole ProprietorYes

Enumeration DateOctober 15, 2010

Last NPPES UpdateOctober 29, 2024

NPPES CertifiedOctober 29, 2024

✔ NPI 1619287208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in UT · 6278375-2501

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 6278375-2501 (UT)

3838 S 700 E STE 101, Salt Lake City, UT 84106

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Other Names 1

Former Name (1)Lisa Michelle Sugerman Phd

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Michelle Sugerman-hermansen Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 2

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

STEINMANN INSTITUTE, LLC

Clinical Neuropsychologist

3838 S 700 E STE 101
SALT LAKE CITY, UT 84106

Salt Lake County (801) 716-4284

DR. GHOLSON JAMES LYON MD PHD

Psychiatry & Neurology (Psychiatry)

3838 S 700 E STE 101
SALT LAKE CITY, UT 84106

Salt Lake County (646) 872-1219

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 Sugerman-hermansen's NPI number?

The NPI number for Lisa Sugerman-hermansen is 1619287208. It was assigned to this individual provider in the NPPES registry on October 15, 2010. The provider is also known as Lisa Michelle Sugerman Phd.

Where is Lisa Sugerman-hermansen located?

Lisa Sugerman-hermansen practices at 3838 S 700 E Ste 101, Salt Lake City, UT 84106. The listed phone number is (801) 716-4284.

What is Lisa Sugerman-hermansen's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Lisa Sugerman-hermansen enrolled in Medicare?

Yes. Lisa Sugerman-hermansen is registered in the Medicare PECOS enrollment system.

What insurance does Lisa Sugerman-hermansen accept?

Health plans from BridgeSpan Health Company, Molina Healthcare, Regence BlueCross BlueShield of Utah and Select Health list Lisa Sugerman-hermansen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Sugerman-hermansen was last updated on October 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.