DR. LISA BAZIL PHD
NPI 1912262585
Psychologist - Clinical in Dallas, TX

Q: What is Lisa Bazil's NPI number?

The NPI number for Lisa Bazil is 1912262585. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Q: What is Lisa Bazil's specialty?

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

Q: Is Lisa Bazil enrolled in Medicare?

No. Lisa Bazil has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Bazil was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since July 10, 2012Opted out of Medicare · through Feb 5, 2028

12830 HILLCREST RD, SUITE D218, DALLAS, TX 75230(817) 882-8880 Get Directions Write a Review

NPPES record last updated: June 11, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Lisa Bazil Phd NPPES

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

DR. LISA BAZIL PHD (NPI 1912262585) is an individual clinical provider in Dallas, Texas, licensed in Texas (30531) and active in the NPI registry since July 2012. She has opted out of Medicare through February 5, 2028.

NPPES Registry Identity

NPI1912262585

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA BAZILCredential: PHD

Location Address12830 HILLCREST RD, SUITE D218Dallas, TX 75230-1527

Mailing AddressPo Box 670787Dallas, TX 75367-0787 · (817) 882-8880

Phone(817) 882-8880

Sole ProprietorNo

Enumeration DateJuly 10, 2012

Last NPPES UpdateJune 11, 2014

✔ NPI 1912262585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in TX · 30531

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.

12830 HILLCREST RD, Dallas, TX 75230

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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 Bazil Phd 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 February 5, 2024 through February 5, 2028.

Opt-Out Effective DateFebruary 5, 2024

Opt-Out In Effect ThroughFebruary 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

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

BEST SITTERS OF DFW

In Home Supportive Care

12830 HILLCREST RD, SUITE D111
DALLAS, TX 75230

Dallas County (972) 364-9074

DR. CHRISTALYN BURNHAM D.C.

Chiropractor

12830 HILLCREST RD, SUITE 111
DALLAS, TX 75230

Dallas County (972) 364-9024

DR. JAN KATHLEEN RIDER PH.D.

Psychologist

12830 HILLCREST RD, SUITE D218
DALLAS, TX 75230

Dallas County (469) 791-9100

DR. LESLIE SCOTT LUFF PH.D.

Counselor (Professional)

12830 HILLCREST RD, SUITE 111
DALLAS, TX 75230

Dallas County (972) 964-9087

LOKAHI LIFE CENTER PLLC

Psychologist (Clinical)

12830 HILLCREST RD, SUITE D 235
DALLAS, TX 75230

Dallas County (972) 975-2007

JANICE BURNHAM M.A., L.P.C.

Counselor (Professional)

12830 HILLCREST RD, SUITE 111
DALLAS, TX 75230

Dallas County (972) 364-9094

KIMBERLY REYNOLDS LMT, AMMP

Massage Therapist

12830 HILLCREST RD, STE D226
DALLAS, TX 75230

Dallas County (469) 554-8429

MOLLIE DEBORAH KILLOUGH LPC, LMFT

Counselor (Mental Health)

12830 HILLCREST RD, SUITE 221
DALLAS, TX 75230

Dallas County (972) 490-7507

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 Bazil's NPI number?

The NPI number for Lisa Bazil is 1912262585. It was assigned to this individual provider in the NPPES registry on July 10, 2012.

Where is Lisa Bazil located?

Lisa Bazil practices at 12830 Hillcrest Rd Suite D218, Dallas, TX 75230. The listed phone number is (817) 882-8880.

What is Lisa Bazil's specialty?

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

Is Lisa Bazil enrolled in Medicare?

No. Lisa Bazil has opted out of Medicare through February 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Bazil was last updated on June 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.