DR. LISA PETERSEN PH.D.
NPI 1699813923
Psychologist in Sacramento, CA

Active since February 01, 2007PECOS Enrolled
601 UNIVERSITY AVE, SUITE #225, SACRAMENTO, CA 95825(916) 920-5276(916) 920-5221 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Lisa Petersen Ph.d. NPPES

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

DR. LISA PETERSEN PH.D. (NPI 1699813923) is an individual psychologist in Sacramento, California, licensed in California (18432) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699813923
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA PETERSENCredential: PH.D.
Location Address601 UNIVERSITY AVE, SUITE #225Sacramento, CA 95825-6775
Mailing Address601 University Ave, Suite #225Sacramento, CA 95825-6775 · (916) 920-5276 · Fax (916) 920-5221
Fax(916) 920-5221
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1699813923 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 CA · 18432
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.
601 UNIVERSITY AVE, Sacramento, CA 95825

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 Petersen Ph.d. 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 13

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

Marriage & Family Therapist
601 UNIVERSITY AVE, STE 225
SACRAMENTO, CA 95825
Marriage & Family Therapist
601 UNIVERSITY AVE, SUITE 225
SACRAMENTO, CA 95825
Psychiatry & Neurology (Child & Adolescent Psychiatry)
601 UNIVERSITY AVE, SUITE 145
SACRAMENTO, CA 95825
Marriage & Family Therapist
601 UNIVERSITY AVE, SUITE 145
SACRAMENTO, CA 95825
Community/Behavioral Health
601 UNIVERSITY AVE, SUITE 225
SACRAMENTO, CA 95825
Counselor (Mental Health)
601 UNIVERSITY AVE, SUITE 145
SACRAMENTO, CA 95825
Case Management
601 UNIVERSITY AVE, 225
SACRAMENTO, CA 95825
Behavior Technician
601 UNIVERSITY AVE
SACRAMENTO, CA 95825

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 Petersen's NPI number?

The NPI number for Lisa Petersen is 1699813923. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Lisa Petersen located?

Lisa Petersen practices at 601 University Ave Suite #225, Sacramento, CA 95825. The listed phone number is (916) 920-5276.

What is Lisa Petersen's specialty?

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

Is Lisa Petersen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Lisa Petersen was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.