DR. LISA DYAN WALSH (NPI# 1962783092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962783092 |
| Entity Type | Individual |
| Full Name | DR. LISA DYAN WALSH |
| Credential | PHD |
| Practice Address |
6394 College Blvd Overland Park KS 66211-1506 |
| Practice Telephone | 8003450448 |
| Mailing Telephone | 8003450448 |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2013-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
1390 | KS | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1390 | KS | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457867665 | Lisa Christine Walsh | Social Worker | 6439 Glorywhite St, Lakewood, CA 90713-2215 | 2017-12-26 |
| 1396100111 | Lisa Marie Walsh | Nurse Practitioner | 4343 Shallowford Rd Ste B7b, Marietta, GA 30062 | 2015-12-21 |
| 1497888242 | Lisa Walsh | Chiropractor | 407 N San Mateo Dr, San Mateo, CA 94401-2417 | 2007-03-13 |
| 1477945897 | Lisa Walsh | Occupational Therapist | 675 S Roselle Rd, Schaumburg, IL 60193-3100 | 2015-02-22 |
| 1972644771 | Lisa Walsh | Advanced Practice Midwife | 2 Water St, Central Plaza - Women's Health Care, Haverhill, MA 01830-6229 | 2007-02-12 |
| 1467524793 | Lisa Marie Walsh | Speech-Language Pathologist | 8323 Southwest Freeway, #101, Houston, TX 77074 | 2006-11-14 |
| 1679651061 | Lisa Kathleen Walsh | Psychologist | 233 Fulton St E, Suite 14, Grand Rapids, MI 49503-3200 | 2006-11-01 |
| 1689770547 | Lisa Marie Walsh II | Dietitian, Registered | 5000 W National Ave, Milwaukee, WI 53295-0001 | 2006-09-16 |
| Street Address |
6394 COLLEGE BLVD |
| City | OVERLAND PARK |
| State | KS |
| Zip Code | 66211-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982855250 | Autism Concepts, Inc. | Behavioral Analyst | 6394 College Blvd, Overland Park, KS 66211-1506 | 2008-10-06 |
| 1003415043 | Madison Katherine Rose Markham | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-10-21 |
| 1114532991 | Austin Terry | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-09-09 |
| 1093329211 | Michael Day | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-09-04 |
| 1174136287 | Ascend Aba LLC | Behavioral Analyst | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-28 |
| 1750994885 | Ascend Aba Kansas LLC | Behavioral Analyst | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-28 |
| 1023621752 | Laris Dotson | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-24 |
| 1215549944 | Sarah Boyce | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-24 |
| 1306458724 | Gage Pemberton | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-18 |
| 1578175998 | Sara Denny | Behavior Technician | 6394 College Blvd, Overland Park, KS 66211-1506 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611821 | Baillie Rose Woydziak | Social Worker | 5805 W 110th Street, Overland Park, KS 66211 | 2018-12-20 |
| 1467920389 | Ku Medwest Ambulatory Surgery Center, LLC | Clinic/Center | 10720 Nall Avenue, Overland Park, KS 66211 | 2018-11-08 |
| 1235615931 | Janice Carollo | Physical Therapy Assistant | 11611 Granada Lane, Leawood, KS 66211 | 2018-07-16 |
| 1720572555 | Trevor Lee Elmer | Physical Therapist | 10777 Nall, 320 - Corporate Medical Plaza Building II, Overland Park, KS 66211 | 2018-06-15 |
| 1043746555 | Overland Park Surgical Suites, LLC | Clinic/Center | 6650 W 110th St Ste 300, Overland Park, KS 66211 | 2017-05-03 |
| 1619313665 | Vcphcs Xiv, LLC | Clinic/Center | 6331 W. 110th Street, Overland Park, KS 66211 | 2013-05-17 |
| 1528334950 | Scott Anthony Hardouin | Surgery | 5100 W 110th St Unit 300, Overland Park, KS 66211 | 2012-03-29 |
| 1386917003 | Children's Physical Therapy Associates | Physical Therapist | 6600 College Boulevard, Suite 307, Overland Park, KS 66211 | 2012-02-10 |
| 1871876250 | Amber Diane Dalzell | Social Worker | 10965 Granada Ln Ste 102, Overland Park, KS 66211 | 2011-09-22 |
| 1912298001 | Stephen Vincent Hiatt | Orthopaedic Surgery | 10701 Nall Avenue, Suite 200, Overland Park, KS 66211 | 2011-04-25 |
| Find all providers in zip 66211 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669662698 | Amy Margaret Jacobsen | Psychologist | 8400 W. 110th Street, Suite 610, Overland Park, KS 66210 | 2007-07-26 |
| 1558570705 | Lisa R Hale | Psychologist | 10555 Marty St, Ste 100, Overland Park, KS 66212-2555 | 2007-05-22 |
| 1346730793 | Jennifer Hodgson | Psychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2018-05-11 |
| 1356856231 | Nathan Fite | Psychologist | 10555 Marty St Ste 100, Overland Park, KS 66212-2555 | 2017-12-13 |
| 1497154421 | Kathryn Daly Kriegshauser | Psychologist | 10555 Marty St, Suite 100, Overland Park, KS 66212-2555 | 2014-08-14 |
| 1164767661 | Lindsey Murray | Psychologist | 10555 Marty St, Suite 100, Overland Park, KS 66212-2555 | 2012-12-10 |
| 1326398694 | Jeffrey A Jaeger | Psychologist | 10555 Marty St, Ste 100, Overland Park, KS 66212-2555 | 2012-09-14 |
| 1326356205 | William C Oakley | Psychologist | 10555 Marty St, Ste 100, Overland Park, KS 66212-2555 | 2010-09-14 |
| 1770811309 | Kansas City Center for Anxiety Treatment, P.a. | Psychologist | 10555 Marty St, Overland Park, KS 66212-2555 | 2009-11-19 |
| 1487662193 | Katie B Lecluyse | Psychologist | 8400 W 110th St, Ste 230, Overland Park, KS 66210-2302 | 2006-08-04 |
| Find all providers in OVERLAND PARK | ||||
| City | OVERLAND PARK |
| Zip Code | 66211 |
Please comment or provide details below to improve the information on DR. LISA DYAN WALSH.
| 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.