DR. LISA REAL PSYD
NPI 1639585755
Psychologist - Clinical in Norwalk, CA

Active since July 09, 2014PECOS Enrolled
11401 BLOOMFIELD AVE, NORWALK, CA 90650(562) 521-1152(562) 651-1201 Get Directions Write a Review

NPPES record last updated: October 30, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Real Psyd NPPES

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

DR. LISA REAL PSYD (NPI 1639585755) is an individual clinical provider in Norwalk, California, licensed in California (PSY31150) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Colton.

NPPES Registry Identity

NPI1639585755
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA REALCredential: PSYD
Location Address11401 BLOOMFIELD AVENorwalk, CA 90650-2015
Mailing Address11401 Bloomfield Ave Rm 106Norwalk, CA 90650-2015 · (562) 521-1152 · Fax (562) 651-1201
Fax(562) 651-1201
Sole ProprietorNo
Enumeration DateJuly 9, 2014
Last NPPES UpdateOctober 30, 2019
NPI 1639585755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY31150
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.
11401 BLOOMFIELD AVE, Norwalk, CA 90650

Other Names 1

Professional Name (2)Lisa Real

Secondary Practice Location 1

Location 11330 E Cooley DrColton, CA 92324-3905 · Phone (909) 580-3731 · Fax (909) 580-3747

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 Real Psyd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90650 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Counselor (Mental Health)
11401 BLOOMFIELD AVE
NORWALK, CA 90650
Psychiatry & Neurology (Psychiatry)
11401 BLOOMFIELD AVE
NORWALK, CA 90650
Psychologist
11401 BLOOMFIELD AVE
NORWALK, CA 90650
Psychiatry & Neurology (Psychiatry)
11401 BLOOMFIELD AVE
NORWALK, CA 90650
Registered Nurse (Psychiatric/Mental Health)
11401 BLOOMFIELD AVE
NORWALK, CA 90650
Psychologist (Clinical)
11401 BLOOMFIELD AVE
NORWALK, CA 90650
Psychiatry & Neurology (Psychiatry)
11401 BLOOMFIELD AVE
NORWALK, CA 90650
Psychiatry & Neurology (Psychiatry)
11401 BLOOMFIELD AVE
NORWALK, CA 90650

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 Real's NPI number?

The NPI number for Lisa Real is 1639585755. It was assigned to this individual provider in the NPPES registry on July 9, 2014.

Where is Lisa Real located?

Lisa Real practices at 11401 Bloomfield Ave, Norwalk, CA 90650. The listed phone number is (562) 521-1152.

What is Lisa Real's specialty?

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

Is Lisa Real enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Real was last updated on October 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.