LISA J. FICKER PHD
NPI 1669610333
Psychologist - Clinical in Raleigh, NC

Q: What is Lisa Ficker's NPI number?

The NPI number for Lisa Ficker is 1669610333. It was assigned to this individual provider in the NPPES registry on February 3, 2009.

Q: What is Lisa Ficker's specialty?

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

Q: Is Lisa Ficker enrolled in Medicare?

No. Lisa Ficker has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Ficker was last updated on February 26, 2020. 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.

Active since February 03, 2009Opted out of Medicare · through Feb 1, 2028

8303 SIX FORKS RD STE 207, RALEIGH, NC 27615(248) 613-9669 Get Directions Write a Review

NPPES record last updated: February 26, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2020, Mar 17, 2018, Oct 17, 2017 (3 updates tracked since 2017).

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About Lisa J. Ficker Phd NPPES

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

LISA J. FICKER PHD (NPI 1669610333) is an individual clinical provider in Raleigh, North Carolina, licensed in Michigan (6301015019) and active in the NPI registry since February 2009. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1669610333

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameLISA J. FICKERCredential: PHD

Location Address8303 SIX FORKS RD STE 207Raleigh, NC 27615-3094

Mailing Address22561 Dover Hill CtFarmington Hills, MI 48335-3912 · (248) 613-9669

Phone(248) 613-9669

Sole ProprietorNo

Enumeration DateFebruary 3, 2009

Last NPPES UpdateFebruary 26, 20203 updates tracked since enumeration

✔ NPI 1669610333 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 MI · 6301015019

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.

8303 SIX FORKS RD STE 207, Raleigh, NC 27615

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Lisa J. Ficker Phd 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 February 1, 2020 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2020

Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 6

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

DR. ALEXANDRA BROUSTOVETSKAIA PH.D.

Psychologist (Counseling)