Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. LISA KERRI WILLIS PHD
NPI 1619912649
Psychologist in Rochester, NY

Active since June 16, 2006PECOS Enrolled
1325 MOUNT HOPE AVE, UNIVERSITY OF ROCHESTER UCC, ROCHESTER, NY 14620(585) 275-3113(585) 442-0815 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Kerri Willis Phd NPPES

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

DR. LISA KERRI WILLIS PHD (NPI 1619912649) is an individual psychologist in Rochester, New York, licensed in New York (014419) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619912649
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA KERRI WILLISCredential: PHD
Location Address1325 MOUNT HOPE AVE, UNIVERSITY OF ROCHESTER UCCRochester, NY 14620-3991
Mailing AddressPo Box 270356, University Of Rochester UccRochester, NY 14627-0356 · (585) 275-3113 · Fax (585) 442-0815
Fax(585) 442-0815
Sole ProprietorNo
Enumeration DateJune 16, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1619912649 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 NY · 014419
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.
1325 MOUNT HOPE AVE, Rochester, NY 14620

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Lisa Kerri Willis 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.

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 Willis's NPI number?

The NPI number for Lisa Willis is 1619912649. It was assigned to this individual provider in the NPPES registry on June 16, 2006.

Where is Lisa Willis located?

Lisa Willis practices at 1325 Mount Hope Ave University Of Rochester Ucc, Rochester, NY 14620. The listed phone number is (585) 275-3113.

What is Lisa Willis's specialty?

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

Is Lisa Willis enrolled in Medicare?

Yes. Lisa Willis is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Willis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days 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.