LISA LUCAS
NPI 1821767534
Psychologist - School in Whitesboro, NY

Active since September 07, 2021PECOS Enrolled
5020 CLINTON RD, WHITESBORO, NY 13492(315) 723-2514 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Lisa Lucas NPPES

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

LISA LUCAS (NPI 1821767534) is an individual school provider in Whitesboro, New York, licensed in New York (014669) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1821767534
Entity TypeIndividualFemale
Primary Taxonomy103TS0200X
Provider Legal NameLISA LUCAS
Location Address5020 CLINTON RDWhitesboro, NY 13492-2748
Mailing Address5020 Clinton RdWhitesboro, NY 13492-2748 · (315) 723-2514
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateSeptember 7, 2021
Last NPPES UpdateOctober 16, 2025
NPPES CertifiedOctober 16, 2025
✔ NPI 1821767534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · SchoolBehavioral Health & Social Service Providers
Taxonomy Code103TS0200X
License✔ Licensed in NY · 014669
Definition
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 014669 (NY)
5020 CLINTON RD, Whitesboro, NY 13492

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Lucas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5496243958
PECOS Enrollment IDI20251024003148
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 Reassignment

Medicare enrollment records show Lisa Lucas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Developmental Disabilities
6007 FAIR LAKES RD, SUITE 500
East Syracuse, NY 13057
  • Reassigned Medicare billing, New York enrollment
  • 342 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.

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 Lucas's NPI number?

The NPI number for Lisa Lucas is 1821767534. It was assigned to this individual provider in the NPPES registry on September 7, 2021.

Where is Lisa Lucas located?

Lisa Lucas practices at 5020 Clinton Rd, Whitesboro, NY 13492. The listed phone number is (315) 723-2514.

What is Lisa Lucas's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in School, with taxonomy code 103TS0200X.

Is Lisa Lucas enrolled in Medicare?

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

Which organization bills Medicare for Lisa Lucas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Lucas reassigns Medicare benefits to State Of New York Comptrollers Office (East Syracuse, NY). The 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 Lucas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Lucas was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.