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DR. LISA KRISTINA PHILLIPS PH.D.
NPI 1790984078
Psychologist - Clinical in Costa Mesa, CA

Active since July 16, 2007Opted out of Medicare · through Oct 1, 2027
151 KALMUS DR STE B220, COSTA MESA, CA 92626(949) 675-0545 Get Directions Write a Review

NPPES record last updated: August 4, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Kristina Phillips Ph.d. NPPES

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

DR. LISA KRISTINA PHILLIPS PH.D. (NPI 1790984078) is an individual clinical provider in Costa Mesa, California, licensed in California (PSY25324) and active in the NPI registry since July 2007. She has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1790984078
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA KRISTINA PHILLIPSCredential: PH.D.
Location Address151 KALMUS DR STE B220Costa Mesa, CA 92626-7957
Mailing Address151 Kalmus Dr Ste B220Costa Mesa, CA 92626-7957 · (949) 675-0545
Phone(949) 675-0545
Sole ProprietorNo
Enumeration DateJuly 16, 2007
Last NPPES UpdateAugust 4, 2013
✔ NPI 1790984078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY25324
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.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
151 KALMUS DR STE B220, Costa Mesa, CA 92626
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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

Dr. Lisa Kristina Phillips 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 October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 1, 2027Opt-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 92626 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 2

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

DR. KATHLEEN A. MOONEY PHD
Psychologist (Cognitive & Behavioral)
151 KALMUS DR STE B220
COSTA MESA, CA 92626
Orange County (714) 963-0528
DR. CHRISTINE A. PADESKY PHD
Psychologist (Cognitive & Behavioral)
151 KALMUS DR STE B220
COSTA MESA, CA 92626
Orange County (714) 963-0528

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 Phillips's NPI number?

The NPI number for Lisa Phillips is 1790984078. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Lisa Phillips located?

Lisa Phillips practices at 151 Kalmus Dr Ste B220, Costa Mesa, CA 92626. The listed phone number is (949) 675-0545.

What is Lisa Phillips's specialty?

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

Is Lisa Phillips enrolled in Medicare?

No. Lisa Phillips has opted out of Medicare through October 1, 2027. 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 Phillips was last updated on August 4, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.