Lisa Gunderson, PHD, LP
NPI 1174327720ActiveIndividual· Psychologist· La Mesa, CA
Psychologist (PHD, LP) with Pacific Coast Psychiatric Associates Inc, practicing in La Mesa, California. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1174327720 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PHD, LP |
| Sole proprietor | Yes |
| NPI issued | Apr 2, 2025 |
| Last updated in NPPES | Aug 1, 2025 |
| Certified by provider | Aug 1, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 19799 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA) |
|---|
Education and affiliations
| Graduation year | 1999 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Pacific Coast Psychiatric Associates IncEncinitas, CA · 662 clinicians
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