Lisamarie Shelton, PSYCHOLOGIST
NPI 1386977445ActiveIndividual· Psychologist, Group Psychotherapy· Fontana, CA
Psychologist, Group Psychotherapy (PSYCHOLOGIST) in Fontana, California, licensed in CA, with an NPI issued in September 2009. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1386977445 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYCHOLOGIST |
| Sole proprietor | No |
| NPI issued | Sep 8, 2009 |
| Last updated in NPPES | Nov 30, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Group Psychotherapy Primary | 103TP2701X | PSY17433 | 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) |
|---|