DR. LISA LAVAYSSE


Address: 205 E 3rd Ave, Mezzanine 1-a, San Mateo, CA 94401-4051
Phone: 6505763017

DR. LISA LAVAYSSE (NPI# 1144549916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144549916
Entity Type Individual
Full Name DR. LISA LAVAYSSE
Credential PSY.D.
Practice Address 205 E 3rd Ave
Mezzanine 1-a
San Mateo
CA 94401-4051
Practice Telephone 6505763017
Mailing Telephone 6505763017
Enumeration Date 2010-05-19
Last Update Date 2010-05-19
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 103TC0700X Psychologist
Specialization: Clinical
PSY20002 CA Behavioral Health & Social Service Providers
Y 103TC2200X Psychologist
Specialization: Clinical Child & Adolescent
PSY20002 CA Behavioral Health & Social Service Providers

Office Location

Street Address 205 E 3RD AVE
MEZZANINE 1-A
City SAN MATEO
State CA
Zip Code 94401-4051

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760592901 Krysta A Banazek Marriage & Family Therapist 205 E 3rd Ave, Suite 207a, San Mateo, CA 94401-4051 2006-08-30
1609266402 Michelle Busch Potter Marriage & Family Therapist 205 E 3rd Ave, Suite 307c, San Mateo, CA 94401-4051 2015-01-31
1982954061 Kimberly Dawn Rich Marriage & Family Therapist 205 E 3rd Ave, Suite 303, San Mateo, CA 94401-4051 2012-09-14
1942567615 Spring Tide Natural Health Acupuncturist 205 E 3rd Ave, Suite 206, San Mateo, CA 94401-4051 2012-04-18
1013150176 Eva K Pang Psychologist 205 E 3rd Ave, San Mateo, CA 94401-4051 2009-04-19
1427290576 Mark Sapaen Watan Acupuncturist 205 E 3rd Ave, Suite 410, San Mateo, CA 94401-4051 2009-04-02
1295982254 Terri Lyn Zucker Psychologist 205 E 3rd Ave, Ste 208, San Mateo, CA 94401-4051 2008-08-21
1609041185 Richard Stewart Cameron Counselor 205 E 3rd Ave, Suite 203, San Mateo, CA 94401-4051 2008-04-25
1629279757 Marilyn Mellott Bacigalupi Marriage & Family Therapist 205 E 3rd Ave, 315, San Mateo, CA 94401-4051 2007-05-29
1396957353 Joan C Haller Social Worker 205 E 3rd Ave, San Mateo, CA 94401-4051 2007-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841800760 Monica Marie Rivas Behavior Technician 429 Peninsula Avenue, San Mateo, CA 94401 2020-08-05
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1487198339 Johnie Pangelina Behavioral Analyst 242 Peninsula Ave, San Mateo, CA 94401 2016-12-12
1740736230 Meredith Eileen Morgan Dentist 100 S. Ellsworth Av, #601, San Mateo, CA 94401 2016-08-25
1376998963 Lior Tamir Dentist 800 B Street Suite #200, San Mateo, CA 94401 2016-05-02
1609233584 Delicia Ortega Behavioral Analyst 424 Peninsula Avenue, San Mateo, CA 94401 2016-01-22
1396122388 Ramy Salah Internal Medicine 50 S San Mateo Dr Ste 480, San Mateo, CA 94401 2015-04-29
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Taxonomy Information

Taxonomy Code 103TC2200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical Child & Adolescent

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740314855 Fred Finch Youth Center Psychologist 126 W 25th Ave, Suite 200, San Mateo, CA 94403-2208 2007-03-14

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1124631312 Kathleen Carroll-wray Psychologist 818 W 7th St Ste 930, Los Angeles, CA 90017-3476 2020-08-26
1568082113 Laura Adery Psychologist 760 Westwood Plz # 27-448, Los Angeles, CA 90095-8353 2020-04-23
1073148938 Kristine Fleming Psychologist 4309 Campbell Dr, Pittsburg, CA 94565-6017 2020-03-11
1730711375 Benjamin Alpert, Psyd, A Psychological Corporation Psychologist 2525 Camino Del Rio S Ste 305 Office2, San Diego, CA 92108-3717 2020-02-11
1073144010 Melissa Alexis Ramirez Psychologist 1514 Caminito Soria Unit 2, Chula Vista, CA 91913-2503 2020-01-29
1063042851 Making A Difference Association, Inc. Psychologist 1430 E Cooley Drive, Ste 111, Colton, CA 92324 2020-01-21
1184264533 New Vision Counseling Center Psychologist 8050 La Mesa Blvd, La Mesa, CA 91942-0335 2020-01-14
1235778614 Jessica Herbold Psychologist 1044 Sir Francis Drake Blvd Ste 7, Kentfield, CA 94904-1454 2020-01-02
1003478405 Melissa Berrenge-browde Psychologist 820 Bay Avenue, Suite 205, Capitola, CA 95010-2102 2019-07-05
1811555840 Rebecca Cole Psychologist 5149 High Meadow Court, Fremont, CA 94536 2019-06-04
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Competitor

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City SAN MATEO
Zip Code 94401

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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