LISA MCCULLOUGH (NPI# 1679924831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679924831 |
| Entity Type | Individual |
| Full Name | LISA MCCULLOUGH |
| Credential | LMFT |
| Practice Address |
23440 Civic Center Way Malibu CA 90265-4854 |
| Practice Telephone | 3104575250 |
| Mailing Telephone | 3104575250 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 39465 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568704195 | Lisa Mccullough | Chiropractor | 100 Commerce Dr, Suite B, Hendersonville, TN 37075-2859 | 2013-03-21 |
| 1861657280 | Lisa Rae Mccullough | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2008-07-24 |
| Street Address |
23440 CIVIC CENTER WAY |
| City | MALIBU |
| State | CA |
| Zip Code | 90265-4854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265437131 | Thomas R Hirsch | Dentist | 23440 Civic Center Way, Ste 206, Malibu, CA 90265-5907 | 2005-06-16 |
| 1841643707 | Soba Living LLC | Clinical Medical Laboratory | 23440 Civic Center Way, Suite 104, Malibu, CA 90265-4854 | 2016-07-15 |
| 1912372541 | Oleg Bouimer | Massage Therapist | 23440 Civic Center Way, Suite 202, Malibu, CA 90265-4854 | 2015-12-08 |
| 1881076438 | Corie Tappin L.ac Acupuncture & Traditional Chinese Medicine | Acupuncturist | 23440 Civic Center Way, Suite 202, Malibu, CA 90265-4854 | 2015-06-19 |
| 1386072445 | Corie Tappin | Acupuncturist | 23440 Civic Center Way, Suite 101, Malibu, CA 90265-4854 | 2013-10-28 |
| 1194958082 | Maugeri and Chinn, A Chiropractic Corporation | Chiropractor | 23440 Civic Center Way, Suite 204, Malibu, CA 90265-4854 | 2009-08-26 |
| 1346408663 | Ronald Charles Maugeri | Chiropractor | 23440 Civic Center Way, Suite 204, Malibu, CA 90265-4854 | 2008-05-23 |
| 1588861785 | Allan Val Pfeiffer | Dentist | 23440 Civic Center Way, Suite201, Malibu, CA 90265-4854 | 2007-06-29 |
| 1174697890 | Bridget Perrin Gardner | Acupuncturist | 23440 Civic Center Way, Suite 202, Malibu, CA 90265-4854 | 2006-11-17 |
| 1770522773 | Taber Lung Chinn | Chiropractor | 23440 Civic Center Way, Suite 204, Malibu, CA 90265-4854 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649884909 | Montage Recovery Ca LLC | Psychiatric Residential Treatment Facility | 2890 Kana Dume, Malibu, CA 90265 | 2020-09-03 |
| 1912518887 | Oconnor Optometric Inc | Optometrist | 23401 Civic Center Way, Unit 2b, Malibu, CA 90265 | 2020-08-13 |
| 1184234593 | Jessica Gash | Student in an Organized Health Care Education/Training Program | 24420 Tiner Court, Malibu, CA 90265 | 2020-07-31 |
| 1902438393 | Montage Recovery Ca, LLC | Clinic/Center | 2890 Kanan Dume Road, Malibu, CA 90265 | 2020-02-04 |
| 1164909032 | Joseph Turcillo | Internal Medicine | 3065 Malibu Country Dr, Malibu, CA 90265 | 2018-07-24 |
| 1356830657 | Samantha Erin Schlossmann | Clinical Neuropsychologist | 28348 Rey De Copas Lane, Malibu, CA 90265 | 2018-05-02 |
| 1740783653 | Adam Dov Greenberg | Acupuncturist | 5853 Filaree Hts., Malibu, CA 90265 | 2018-03-16 |
| 1225556673 | Jeff Harris, M.d. A Medical Corporation | Pediatrics | 23805 Stuart Ranch Rd. #310, Malibu, CA 90265 | 2017-09-06 |
| 1184177347 | Michael J. Maguire Acupuncturist, Inc. | Acupuncturist | 28990 PCh, Building B Ste 211, Malibu, CA 90265 | 2016-07-25 |
| 1093182198 | Recovery Malibu, Inc. | Substance Abuse Rehabilitation Facility | 20723 Rockcroft Dr., Malibu, CA 90265 | 2015-08-25 |
| Find all providers in zip 90265 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316593064 | Carole A Garcia | Marriage & Family Therapist | 3534 Shoreheights Dr, Malibu, CA 90265-5647 | 2019-08-16 |
| 1780160127 | Christina W Vescovo | Marriage & Family Therapist | 22809 Pacific Coast Hwy, Malibu, CA 90265-5873 | 2018-07-18 |
| 1841708856 | Joseph Ferndino | Marriage & Family Therapist | 22675 Pacific Coast Hwy, Malibu, CA 90265-5036 | 2018-01-12 |
| 1174038996 | Gregg Brock | Marriage & Family Therapist | 21225 Pacific Coast Hwy Ste D, Malibu, CA 90265-5276 | 2017-12-04 |
| 1710418645 | Marni Kamins | Marriage & Family Therapist | 3434 Serra Rd, Malibu, CA 90265-4913 | 2017-03-22 |
| 1134571540 | Justin J. Leitstein | Marriage & Family Therapist | 31209 Pacific Coast Hwy, Malibu, CA 90265-2639 | 2016-07-09 |
| 1073990479 | Alexandra Decleene | Marriage & Family Therapist | 22653 Pacific Coast Hwy Ste 10, Malibu, CA 90265-5806 | 2015-05-05 |
| 1487045142 | Susan J Stiffelman | Marriage & Family Therapist | 6071 Paseo Canyon Dr, Malibu, CA 90265-3131 | 2015-02-16 |
| 1821487091 | Alexandra Decleene | Marriage & Family Therapist | 22653 PCh #10, Malibu, CA 90265 | 2015-01-12 |
| 1184929507 | Corinne Jill Barthell | Marriage & Family Therapist | 22653 Pacific Coast Hwy, #10, Malibu, CA 90265-5096 | 2011-01-15 |
| Find all providers in MALIBU | ||||
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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.