LISA L LEININGER (PSYD) – Psychologist, NPI 1174623995

LISA L LEININGER (PSYD) is a healthcare provider. based in Marshall, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 6301007567 (MI). The NPI Number for LISA L LEININGER (PSYD) is 1174623995

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
LISA L LEININGER (PSYD)
NPI
1174623995
Phone
(269) 781-9119
Address
15209 W MICHIGAN AVE
Enumeration Date
22 September 2006
Last Update Date
5 December 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693376373
Graduation Year
1989 (37 years ago)
PAC ID
0244407658
Group Practice PAC ID
7517113954
Professional Enrollment ID
I20120125000189
Address ID
MI490481647KA1717XSTXX302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for LISA L LEININGER (PSYD)

  • 15209, West Michigan Avenue, Marshall Township, Calhoun County, Michigan, 49068, United States

    MARSHALL, MI 490689570

    Phone: (269) 781-9119

    Fax: (269) 789-4347

    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: 2012-01-25

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
I20120125000189IClinical PsychologistMITBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 49068)

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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: 7517113954View full group profile
NameSpecialtyState
Clinical PsychologistMI
-MI
Family Practice, Obstetrics/GynecologyMI
-MI
Infectious DiseaseMI
P S Y C H I A T R YMI
O B S T E T R I C S/ G Y N E C O L O G YMI
P S Y C H I A T R YMI
Internal MedicineMI
-MI

Reviews

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Frequently asked questions

What identifier follows LISA L LEININGER (PSYD) across health systems?
The NPI 1174623995 uniquely identifies LISA L LEININGER (PSYD) in U.S. healthcare data.
Is LISA L LEININGER (PSYD) currently accepting referrals based on NPI status?
Registry metadata lists LISA L LEININGER (PSYD) as active.
Which specialty label fits LISA L LEININGER (PSYD)?
NPPES ties LISA L LEININGER (PSYD) to Psychologist in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to LISA L LEININGER (PSYD)?
LISA L LEININGER (PSYD) shows a connection to Marshall, Michigan in registry-derived data.
Why is information missing for LISA L LEININGER (PSYD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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