Lisa M. Manderino
NPI 1790288066ActiveIndividual· Clinical Neuropsychologist· Louisville, KY
Clinical Neuropsychologist with Aptiva Health, practicing in Louisville, Kentucky. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1790288066 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 13, 2018 |
| Last updated in NPPES | Oct 13, 2022 |
| Certified by provider | Oct 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | — | — |
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 (KY) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Aptiva HealthLouisville, KY · 36 clinicians
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