Lisa S. Squire, PHD, LP, PA
NPI 1841529930ActiveOrganization· Psychologist, Clinical· Bloomington, MN
Psychologist, Clinical in Bloomington, Minnesota, registered in NPPES in December 2009. The authorized official on file is Lisa Sharon Squire, PHD PSYCHOLOGY, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1841529930 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 18, 2009 |
| Last updated in NPPES | Dec 18, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | MNLP0204 | MN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MN) |
|---|
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