DR. LISA JANE BACKUS (NPI# 1770827677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770827677 |
| Entity Type | Individual |
| Full Name | DR. LISA JANE BACKUS |
| Credential | PSYD |
| Practice Address |
129 Tolland Stage Rd Suite 1 Tolland CT 06084-2342 |
| Mailing Address |
Po Box 537 Willington CT 06279-0537 |
| Practice Telephone | 8604540611 |
| Practice Fax Number | 8604540919 |
| Mailing Telephone | 8608374995 |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2014-10-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
003187 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558679555 | Lisa Backus | Counselor | 8931 Huron St, Thornton, CO 80260-6806 | 2010-09-24 |
| 1033152285 | Lisa Ione Backus | Internal Medicine | 3801 Miranda Ave, #132, Palo Alto, CA 94304-1207 | 2006-06-14 |
| Street Address |
129 TOLLAND STAGE RD SUITE 1 |
| City | TOLLAND |
| State | CT |
| Zip Code | 06084-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528670783 | Irene Elaine Antar | Optometrist | 152 Merrow Rd #23c, Tolland, CT 06084 | 2020-08-19 |
| 1871145086 | Healthy Solutions | Counselor | 643 Main Street, Manchester, CT 06084 | 2019-07-09 |
| 1205363124 | Helen Charette, Msw, Lcsw, LLC | Social Worker | 355 Sugar Hill Rd., Tolland, CT 06084 | 2017-05-23 |
| 1851796163 | Senior Moments, LLC | Clinic/Center | 31 Kingsbury Ave, Tolland, CT 06084 | 2014-10-29 |
| 1548527898 | Ruth Wassik | Occupational Therapy Assistant | 26 Shenipsit Road, Tolland, CT 06084 | 2012-04-11 |
| 1063703551 | Greater Hartford Orthopedic Group, P.C. | Durable Medical Equipment & Medical Supplies | 384 L Merrow Road, Tolland, CT 06084 | 2011-05-02 |
| 1326351412 | Behavioral Wellness Clinic | Social Worker | Behavioral Wellness Clinic, 392 Merrow Road, Suite E, Tolland, CT 06084 | 2010-07-19 |
| 1902975808 | Frederick M Daniels | Dentist | 12 Goose Lane, Tolland, CT 06084 | 2006-11-06 |
| 1306932215 | Beth Schweitzer | Family Medicine | 6 Fieldstone Commons, Suite D, Tolland, CT 06084 | 2006-10-05 |
| 1942302898 | Joseph Macione | Psychologist | 175 Walbridge Hill Rd, Administractive Office, Tolland, CT 06084 | 2006-09-02 |
| Find all providers in zip 06084 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079547 | Sarah Phillips | Psychologist | 1 Long Wharf Dr Ste G7, New Haven, CT 06511-5991 | 2020-10-05 |
| 1225649080 | Joyce Nathan | Psychologist | 175 Riversville Rd, Greenwich, CT 06831-3629 | 2020-08-13 |
| 1831700103 | Rebecca G Boswell | Psychologist | 22 Gold St Apt 106, New Haven, CT 06519-1641 | 2020-08-11 |
| 1366065963 | Leah Elizabeth Morgan | Psychologist | 56 Arbor St Ste 100-a, Hartford, CT 06106-1222 | 2020-05-19 |
| 1285255992 | Dnd Group of Companies LLC | Psychologist | 204 Old Village Cir, Windsor, CT 06095 | 2020-05-04 |
| 1629698238 | David A Stayner | Psychologist | 39 Pleasant Dr, Cheshire, CT 06410-2241 | 2020-04-23 |
| 1730726324 | Samantha R Morris | Psychologist | 377 Mansfield Road, Unit 1255, Storrs, CT 06269-1255 | 2019-12-03 |
| 1255974242 | Adriana Deamicis | Psychologist | 129 Church St Ste 704, New Haven, CT 06510-2043 | 2019-10-22 |
| 1225686249 | Morris Brett Denkin | Psychologist | 51 Locust Ave Ste 302a, New Canaan, CT 06840-4739 | 2019-09-03 |
| 1407404684 | Siobhan O'leary Evarts | Psychologist | 1275 Post Rd Ste A18, Fairfield, CT 06824-6060 | 2019-08-30 |
| Find all providers with the same taxonomy | ||||
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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.