DR. LISA JEANNE BRANDYBERRY PHD.
NPI 1760499156
Psychologist in Concord, NC

Active since August 01, 2006PECOS Enrolled
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025(704) 939-1100(704) 939-1173 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa Jeanne Brandyberry Phd. NPPES

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

DR. LISA JEANNE BRANDYBERRY PHD. (NPI 1760499156) is an individual psychologist in Concord, North Carolina, licensed in North Carolina (1842) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760499156
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA JEANNE BRANDYBERRYCredential: PHD.
Location Address284 EXECUTIVE PARK DR, SUITE 100Concord, NC 28025-1831
Mailing Address284 Executive Park Dr Ste 100Concord, NC 28025-1833 · (704) 939-1100 · Fax (704) 939-1173
Fax(704) 939-1173
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateSeptember 6, 2023
NPPES CertifiedSeptember 6, 2023
✔ NPI 1760499156 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 NC · 1842
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.
284 EXECUTIVE PARK DR, Concord, NC 28025

Other Identifiers 1

Medicaid6000631NC

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Jeanne Brandyberry 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Lisa Brandyberry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
284 EXECUTIVE PARK DRIVE, SUITE 100
Concord, NC 28025
  • Reassigned Medicare billing, North Carolina enrollment
  • 241 clinicians in this Medicare group
Clinical
3591 RESERVE COMMONS DR, SUITE 301
Medina, OH 44256
  • Reassigned Medicare billing, Ohio enrollment
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Counselor (Professional)
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Social Worker (Clinical)
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Registered Nurse
284 EXECUTIVE PARK DR
CONCORD, NC 28025
Licensed Practical Nurse
284 EXECUTIVE PARK DR, STE 100
CONCORD, NC 28025
Counselor
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025
Counselor (Addiction (Substance Use Disorder))
284 EXECUTIVE PARK DR, SUITE 100
CONCORD, NC 28025

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 Brandyberry's NPI number?

The NPI number for Lisa Brandyberry is 1760499156. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Lisa Brandyberry located?

Lisa Brandyberry practices at 284 Executive Park Dr Suite 100, Concord, NC 28025. The listed phone number is (704) 939-1100.

What is Lisa Brandyberry's specialty?

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

Is Lisa Brandyberry enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Brandyberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Brandyberry reassigns Medicare benefits to 2 organizations: Daymark Recovery Services, Inc. (Concord, NC) and Psychology Consultants Inc (Medina, OH). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Brandyberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lisa Brandyberry accept?

Health plans from Blue Cross and Blue Shield of NC and Oscar Health Plan of North Carolina, Inc list Lisa Brandyberry as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Brandyberry was last updated on September 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.