Provider Type Icon

DR. LISA D. STANFORD PH.D. NPI 1194838268


NPI Information

NPI: 1194838268
Provider Name: DR. LISA D. STANFORD, PH.D.
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2033 MILWAUKEE AVE
STE 334
RIVERWOODS, IL
ZIP 60015
Phone: (800) 564-0863
Get Directions

DR. Lisa D. Stanford, PH.D. is a clinical neuropsychologist in Riverwoods, IL with 36 years of experience. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. DR. Lisa D. Stanford, PH.D. NPI is 1194838268. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2033 MILWAUKEE AVE
STE 334
RIVERWOODS, IL
ZIP 60015-581
Phone: (800) 564-0863
Fax: (847) 383-4380

The NPI 1194838268 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 8/16/2006 and was last updated on 2/17/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologist071006582ILLINOISNo
2103TC0700XPsychologistClinical071006582ILLINOISNo
3103TS0200XPsychologistSchool071006582ILLINOISNo
4103G00000XClinical Neuropsychologist6797OHIONo
5103G00000XClinical Neuropsychologist071006582ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.