DR. LISA ANN OSBORN PSY.D.
NPI 1861649857
Psychologist in Santa Monica, CA

Active since August 21, 2008Opted out of Medicare · through Apr 1, 2028
2510 MAIN ST STE 201, SANTA MONICA, CA 90405(310) 913-1760 Get Directions Write a Review

NPPES record last updated: August 21, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Lisa Ann Osborn Psy.d. NPPES

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

DR. LISA ANN OSBORN PSY.D. (NPI 1861649857) is an individual psychologist in Santa Monica, California, licensed in California (PSY21756) and active in the NPI registry since August 2008. She has opted out of Medicare through April 1, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861649857
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LISA ANN OSBORNCredential: PSY.D.
Location Address2510 MAIN ST STE 201Santa Monica, CA 90405-3581
Mailing Address2510 Main St Ste 201Santa Monica, CA 90405-3581 · (310) 913-1760
Sole ProprietorYes
Enumeration DateAugust 21, 2008
NPI 1861649857 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 · PSY21756
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.
2510 MAIN ST STE 201, Santa Monica, CA 90405

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 Ann Osborn Psy.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 April 1, 2018 through April 1, 2028.

Opt-Out Effective DateApril 1, 2018
Opt-Out In Effect ThroughApril 1, 2028Opt-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.

Other Providers at the Same Location NPPES 9

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

Marriage & Family Therapist
2510 MAIN ST STE 201
SANTA MONICA, CA 90405
Marriage & Family Therapist
2510 MAIN ST STE 201
SANTA MONICA, CA 90405
Psychologist
2510 MAIN ST STE 201
SANTA MONICA, CA 90405
Psychologist (Clinical)
2510 MAIN ST STE 201
SANTA MONICA, CA 90405
Psychologist
2510 MAIN ST STE 201
SANTA MONICA, CA 90405
Student in an Organized Health Care Education/Training Program
2510 MAIN ST STE 201
SANTA MONICA, CA 90405
Psychologist (Group Psychotherapy)
2510 MAIN ST STE 201
SANTA MONICA, CA 90405
Psychologist
2510 MAIN ST STE 201
SANTA MONICA, CA 90405

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 Osborn's NPI number?

The NPI number for Lisa Osborn is 1861649857. It was assigned to this individual provider in the NPPES registry on August 21, 2008.

Where is Lisa Osborn located?

Lisa Osborn practices at 2510 Main St Ste 201, Santa Monica, CA 90405. The listed phone number is (310) 913-1760.

What is Lisa Osborn's specialty?

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

Is Lisa Osborn enrolled in Medicare?

No. Lisa Osborn has opted out of Medicare through April 1, 2028. 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 Osborn was last updated on August 21, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.