LISA M SOUTHERN (NPI# 1184676702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184676702 |
| Entity Type | Individual |
| Full Name | LISA M SOUTHERN |
| Credential | LMLP, LCP |
| Practice Address |
1145 E Kansas Plz Garden City KS 67846-5870 |
| Practice Telephone | 6202750625 |
| Practice Fax Number | 6202757908 |
| Mailing Telephone | 6202750625 |
| Mailing Fax Number | 6202757908 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | LCP 128 | KS | Behavioral Health & Social Service Providers |
| X | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
LMLP 0495 | KS | Behavioral Health & Social Service Providers |
| Street Address |
1145 E KANSAS PLZ |
| City | GARDEN CITY |
| State | KS |
| Zip Code | 67846-5870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821048547 | Kay A Ermish | Social Worker | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-11 |
| 1639121247 | Elizabeth Gant | Nurse Practitioner | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-16 |
| 1477505097 | Anthony L Snow | Psychologist | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-16 |
| 1295786002 | Margaret F Myers | Social Worker | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-15 |
| 1740231794 | Marshall H Lewis | Psychologist | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-15 |
| 1396796355 | Jimmie C Stewart | Marriage & Family Therapist | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-15 |
| 1992756654 | Gordon N Duncan | Psychologist | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-15 |
| 1447200092 | Robert E Bontrager | Social Worker | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-12 |
| 1760432322 | Carol J Lightner | Social Worker | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-12 |
| 1770533366 | Wendy B Murray | Social Worker | 1145 E Kansas Plz, Garden City, KS 67846-5870 | 2006-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629619036 | Kayla Thackery | Speech-Language Pathologist | 2735 N Jennie Barker Rd, Garden City, KS 67846 | 2019-10-07 |
| 1477049732 | Sarah Lemmons | Specialist/Technologist | 801 Campus Dr, Athletic Department, Garden City, KS 67846 | 2018-07-10 |
| 1720571813 | Keith Earnest Venjohn | Pharmacist | 3101 East Kansas Ave, Garden City, KS 67846 | 2018-06-13 |
| 1457879017 | Jami Rae Weaver-warren | Nurse Practitioner | 302 N. Fleming Street Suite 2, Garden City, KS 67846 | 2017-09-05 |
| 1659812279 | Cynthia Brungardt | Pharmacist | 2424 N. Taylor Avenuee, Garden City, KS 67846 | 2017-03-15 |
| 1982145595 | Garden City Sr Operatons LLC | Custodial Care Facility | 2002 Labrador Boulevard, Garden City, KS 67846 | 2017-03-15 |
| 1255717559 | United Methodist Mexican American Ministries | Community/Behavioral Health | 122 W. Laurel Street, Garden City, KS 67846 | 2015-08-10 |
| 1447668629 | Zulema Salazar | Registered Nurse | 712 St. John St., Garden City, KS 67846 | 2014-07-31 |
| 1710210943 | Garden Valley Retirement Village, LLC | Skilled Nursing Facility | 1505 East Spruce Street, Garden City, KS 67846 | 2009-09-04 |
| 1720231848 | Vollertsen Family Dentistry | Health Maintenance Organization | 1402 1/2 Kansas Ave., Garden City, KS 67846 | 2008-11-03 |
| Find all providers in zip 67846 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| 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. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528573185 | Michael James Barnes | Psychologist | 233 7th St Fl 2, Garden City, NY 11530-5747 | 2017-12-05 |
| 1366783557 | Jaime Wallace | Psychologist | 198 Fernwood Ter, Garden City, NY 11530-5010 | 2013-03-13 |
| 1194097618 | Allison Meredith Maloney | Psychologist | 30 Lindbergh St, Garden City, NY 11530-6611 | 2012-01-30 |
| 1134496722 | Erin Marie Mcdonough | Psychologist | 1044 Franklin Ave, Suite 215, Garden City, NY 11530-2938 | 2011-11-26 |
| 1841448867 | Lauren Gerardi | Psychologist | 23 Harvard St, Garden City, NY 11530-4003 | 2008-09-03 |
| 1578711750 | Marvin J Aronson | Psychologist | 320 Old Country Rd, Suite 204, Garden City, NY 11530-1703 | 2008-08-31 |
| 1114043528 | Lola D. Nouryan | Psychologist | 520 Franklin Ave Ste 122, Garden City, NY 11530-5814 | 2007-03-21 |
| 1356474068 | Gary Lee Kahn | Psychologist | 33 Hamilton Pl, Garden City, NY 11530-5922 | 2007-03-13 |
| 1689711749 | Kenneth Albert Smith | Psychologist | 201 Nassau Blvd, Garden City, NY 11530-1272 | 2007-01-30 |
| 1659429025 | Judy A King | Psychologist | 195 Wellington Rd, Garden City, NY 11530 | 2007-01-08 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 67846 |
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| 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.