Lisa Clark, LLP
NPI 1639590813ActiveIndividual· Psychologist· Grand Rapids, MI
Psychologist (LLP) in Grand Rapids, Michigan, licensed in MI, with an NPI issued in December 2013. A record with the same name and state is on the OIG exclusion list; it carries no NPI, so check it before acting.
Overview
| NPI | 1639590813 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LLP |
| Sole proprietor | No |
| NPI issued | Dec 14, 2013 |
| Last updated in NPPES | Jul 28, 2026 |
| Certified by provider | Jul 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist Primary | 103T00000X | 6301012462 | MI |
Exclusion screening
Possible match: verify before acting. The OIG list has a record with the same name in Michigan, but that record carries no NPI, so it may be a different person or business.
| Matched by | Name on OIG list | Exclusion type | Excluded since | Location |
|---|---|---|---|---|
| Name + state | Lisa Ann Clark · Nurse/Nurses Aide | 1128a4 | Aug 20, 2008 | Newport, MI |
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | Possible (name) | See above |
| 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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