LISA GERSONY – Clinical Psychologist, NPI 1538356787

LISA GERSONY is a healthcare provider. based in Port saint lucie, Florida. specializing in CLINICAL PSYCHOLOGIST. They hold a License No. PY8817 (FL). The NPI Number for LISA GERSONY is 1538356787

Main info

Female
Sole Proprietor
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA GERSONY
NPI
1538356787
Phone
(860) 808-6693
Address
1801 SW CALIFORNIA BLVD
Enumeration Date
2 October 2007
Last Update Date
17 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5612497835
Graduation Year
2005 (21 years ago)
PAC ID
7517045487
Group Practice PAC ID
0143121145
Professional Enrollment ID
I20150106000412
Address ID
FL349528221PO7300XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

1,602 CLINICAL PSYCHOLOGIST in FL

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Provider Addresses for LISA GERSONY

  • 1801, Southwest California Boulevard, Port St. Lucie, St. Lucie County, Florida, 34953, United States

    PORT SAINT LUCIE, FL 349531164

    Phone: (860) 808-6693

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-01-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150106000412IClinical PsychologistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes49836$0
90834Psychotherapy, 45 minutes7111$0
90791Psychiatric diagnostic evaluation2020$0
View full utilization report →

Insurance plans in this area (ZIP 34953)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143121145View full group profile
NameSpecialtyState
Clinical Social WorkerFL
-FL
-FL
-FL
Clinical Social WorkerFL
Clinical Social WorkerFL
-FL
Clinical Social WorkerFL
Clinical PsychologistFL
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Is LISA GERSONY listed with a National Provider Identifier?
Yes — LISA GERSONY has NPI 1538356787 on file in the registry.
Is LISA GERSONY shown as active in public data?
Registry records indicate LISA GERSONY maintains an active NPI.
What area of care is associated with LISA GERSONY?
LISA GERSONY's record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for LISA GERSONY?
Travel planning: use Port Saint Lucie, Florida as the reference point for LISA GERSONY, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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