Lisa Anderson, PHD
NPI 1114504123 · Clinical Psychologist · St Louis Park, MN
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Anderson, PHD is a Clinical Psychologist provider in St Louis Park, MN (NPI 1114504123).
Provider details
- NPI number
- 1114504123
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- License
- LP6534 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-03-25
- Last updated
- 2021-03-25
- Certified
- 2021-03-25
Frequently asked questions
- What is Lisa Anderson's NPI number?
- Lisa Anderson's National Provider Identifier (NPI) is 1114504123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Anderson's specialty?
- Lisa Anderson is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Lisa Anderson located?
- Lisa Anderson's practice location on file with NPPES is 5775 Wayzata Blvd Ste 255, St Louis Park, MN 55416-1275.
- What is Lisa Anderson's phone number?
- The practice phone number listed in the NPPES registry for Lisa Anderson is (952) 525-4500.
- Does Lisa Anderson accept Medicare?
- Lisa Anderson is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Anderson's NPI active?
- Yes — Lisa Anderson's NPI (1114504123) is active in the NPPES registry as of the last update on 2021-03-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.