DR. LISA DEANNE WALDMAN (NPI# 1285073320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285073320 |
Entity Type | Individual |
Full Name | DR. LISA DEANNE WALDMAN |
Credential | PH.D. |
Practice Address |
2615 Pacific Coast Hwy Suite 325 Hermosa Beach CA 90254-2225 |
Practice Telephone | 3105285550 |
Practice Fax Number | 3105216411 |
Mailing Telephone | 3105285550 |
Mailing Fax Number | 3105216411 |
Enumeration Date | 2013-06-21 |
Last Update Date | 2013-06-21 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103G00000X | Clinical Neuropsychologist | PSY18493 | CA | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679020242 | Lisa Waldman | Registered Nurse | 2500 Nw 29th Manor, Pompano Beach, FL 33069 | 2016-09-01 |
1487900411 | Lisa Waldman | Counselor | 1950 Tower Hill Rd, North Kingstown, RI 02852-6639 | 2012-07-27 |
1134483720 | Lisa Waldman | Specialist | 6800 Pittsford Palmyra Rd Ste 380, Fairport, NY 14450-3518 | 2012-06-27 |
1265504807 | Lisa Waldman | Social Worker | 360 N Bedford Dr, Suite 312, Beverly Hills, CA 90210-5129 | 2006-11-15 |
Street Address |
2615 PACIFIC COAST HWY SUITE 325 |
City | HERMOSA BEACH |
State | CA |
Zip Code | 90254-2225 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336174507 | Patricia Baltazar | Psychologist | 2615 Pacific Coast Hwy, Suite 204, Hermosa Beach, CA 90254-2225 | 2006-07-12 |
1720554280 | Alanna Turner | Marriage & Family Therapist | 2615 Pacific Coast Hwy, Hermosa Beach, CA 90254-2225 | 2018-10-22 |
1588012090 | Jamie Suard | Marriage & Family Therapist | 2615 Pacific Coast Hwy, Suite 325, Hermosa Beach, CA 90254-2225 | 2016-05-25 |
1003169590 | Emily May Varee | Physical Therapist | 2615 Pacific Coast Hwy, Suite 321, Hermosa Beach, CA 90254-2225 | 2012-10-21 |
1528317955 | Beach Cities Psychological Services, Inc. | Marriage & Family Therapist | 2615 Pacific Coast Hwy, Suite 325, Hermosa Beach, CA 90254-2225 | 2012-08-30 |
1760643308 | Dennis Sabug Sanchez | Physical Therapist | 2615 Pacific Coast Hwy, Ste 321, Hermosa Beach, CA 90254-2225 | 2008-06-17 |
1487848404 | Martha B. Koo, M.d., Ltd. | Clinic/Center | 2615 Pacific Coast Hwy, 215, Hermosa Beach, CA 90254-2225 | 2007-09-03 |
1831309673 | Leah Mary Niehaus | Counselor | 2615 Pacific Coast Hwy, Suite 217, Hermosa Beach, CA 90254-2225 | 2007-05-23 |
1073733572 | Peggy Hoppman Hunt | Social Worker | 2615 Pacific Coast Hwy, Hermosa Beach, CA 90254 | 2007-04-26 |
1497899728 | Martha Brewer Koo | Counselor | 2615 Pacific Coast Hwy, #215, Hermosa Beach, CA 90254-2225 | 2007-02-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316501356 | Brianna Naomi Munoz | Behavioral Analyst | 1601 Ca-1, Suite 175, Hermosa Beach, CA 90254 | 2019-04-25 |
1134681430 | Duyen Thi Dinh | Pharmacist | 155 Ca-1, Hermosa Beach, CA 90254 | 2019-04-04 |
1407312978 | Evelyn Michelle Escobar | Behavior Technician | 1601 Ca-1, Ste 175, Hermosa Beach, CA 90254 | 2019-02-20 |
1124598750 | Maria Inaty | Behavioral Analyst | 2447 Pacific Coast Hwy Suite 111, Hermosa Beach, CA 90254 | 2018-11-27 |
1023508538 | Melissa Solis | Acupuncturist | 727 2nd Street, #107, Hermosa Beach, CA 90254 | 2018-05-10 |
1700319316 | Anna Raymond | Dentist | 1559 Pacific Coast Hwy Ste 101, Hermosa Beach, CA 90254 | 2017-04-10 |
1588916506 | Layla Olive | Speech-Language Pathologist | 2132 Monterey Blvd, Apt B, Hermosa Beach, CA 90254 | 2012-10-15 |
1588894307 | Linda E. Brochert-saker | Marriage & Family Therapist | 2200 Pacific Coast Hwy. #208, Hermosa Beach, CA 90254 | 2009-07-15 |
1689816050 | Blue Water Endeavors, Inc. | Home Health | 13405 Inglewood Avenue, Suite 6, Hawthorne, CA 90254 | 2009-04-01 |
1043408420 | Brandon Hyatt | Marriage & Family Therapist | 263 27th Court, Hermosa Beach, CA 90254 | 2007-10-10 |
Find all providers in zip 90254 |
Taxonomy Code | 103G00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Clinical Neuropsychologist |
An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407455108 | Chelsea Vilinskas | Clinical Neuropsychologist | 2624 Larkey Ln, Walnut Creek, CA 94597-2439 | 2020-10-22 |
1417554049 | Andrea Alioto | Clinical Neuropsychologist | 247 San Carlos Ave, Redwood City, CA 94061-3518 | 2020-10-06 |
1265045975 | Well Psychology, Inc. | Clinical Neuropsychologist | 3525 Del Mar Heights Rd # 1881, San Diego, CA 92130-2199 | 2020-08-24 |
1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
1437767399 | Ni Sun-suslow | Clinical Neuropsychologist | 220 Dickinson St # B, San Diego, CA 92103-2071 | 2020-07-16 |
1366061707 | Talia Rose Seider | Clinical Neuropsychologist | 760 Westwood Plz Ste 37-360b, Los Angeles, CA 90024-5055 | 2020-04-15 |
1699394270 | Colin Jarred Gallagher | Clinical Neuropsychologist | 760 Westwood Plz # C8-854, Los Angeles, CA 90095-8353 | 2020-04-13 |
1649807058 | Nicholas S. Thaler Phd A Psychological Corporation | Clinical Neuropsychologist | 1526 14th St Ste 109, Santa Monica, CA 90404-3320 | 2020-03-25 |
1447890116 | Hussah Alkharafi | Clinical Neuropsychologist | 2720 Neilson Way # 5701, Santa Monica, CA 90405-4060 | 2020-01-10 |
1609414788 | Linda Rice | Clinical Neuropsychologist | 617 Bluegrass St, Simi Valley, CA 93065-5460 | 2019-12-19 |
Find all providers with the same taxonomy |
City | HERMOSA BEACH |
Zip Code | 90254 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.