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Lisa R Grossman PHD Psychologist A Professional Corporation

NPI 1205213485ActiveOrganization· Psychologist· Santa Rosa, CA

Psychologist in Santa Rosa, California, registered in NPPES in April 2015. The authorized official on file is Lisa R. Grossman, PH.D., Psychologist.

Overview

NPI1205213485
StatusActive
Entity typeOrganization
NPI issuedApr 27, 2015
Last updated in NPPESJun 26, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Psychologist Primary103T00000XPSY19121CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Psychologist providers in Santa Rosa

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