MS. LISA DIRECTOR PH.D.
NPI 1669593786
Psychologist - Clinical in New York, NY

Active since April 03, 2007Opted out of Medicare · through Aug 13, 2026
124 W 79TH ST, SUITE 1C, NEW YORK, NY 10024(212) 362-0705 Get Directions Write a Review

NPPES record last updated: May 28, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Lisa Director Ph.d. NPPES

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

MS. LISA DIRECTOR PH.D. (NPI 1669593786) is an individual clinical provider in New York, New York, licensed in New York (011503) and active in the NPI registry since April 2007. She has opted out of Medicare through August 13, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1669593786
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMS. LISA DIRECTORCredential: PH.D.
Location Address124 W 79TH ST, SUITE 1CNew York, NY 10024-6470
Mailing Address124 W 79th St, Suite 1cNew York, NY 10024-6470 · (212) 362-0705
Sole ProprietorYes
Enumeration DateApril 3, 2007
Last NPPES UpdateMay 28, 2012
NPI 1669593786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in NY · 011503
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.
124 W 79TH ST, New York, NY 10024

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Ms. Lisa Director Ph.d. 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 August 13, 2012 through August 13, 2026.

Opt-Out Effective DateAugust 13, 2012
Opt-Out In Effect ThroughAugust 13, 2026Opt-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10024 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 11

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

Marriage & Family Therapist
124 W 79TH ST, SUITE 1B
NEW YORK, NY 10024
Psychologist (Clinical)
124 W 79TH ST, 1E
NEW YORK, NY 10024
Psychologist (Clinical)
124 W 79TH ST, #1D
NY, NY 10024
Psychologist
124 W 79TH ST, SUITE 1C
NEW YORK, NY 10024
Registered Nurse (Psychiatric/Mental Health)
124 W 79TH ST, SUITE 1D
NEW YORK, NY 10024
Psychologist
124 W 79TH ST, SUITE 1B
NEW YORK, NY 10024
Specialist
124 W 79TH ST, SUITE D
NEW YORK, NY 10024
Psychologist
124 W 79TH ST
NEW YORK, NY 10024

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 Director's NPI number?

The NPI number for Lisa Director is 1669593786. It was assigned to this individual provider in the NPPES registry on April 3, 2007.

Where is Lisa Director located?

Lisa Director practices at 124 W 79th St Suite 1C, New York, NY 10024. The listed phone number is (212) 362-0705.

What is Lisa Director's specialty?

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

Is Lisa Director enrolled in Medicare?

No. Lisa Director has opted out of Medicare through August 13, 2026. 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 Director was last updated on May 28, 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.