LISA M. THORNTON (PHD) – Clinical Psychologist, NPI 1699164855

LISA M. THORNTON (PHD) is a healthcare provider. based in Columbus, Ohio. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. P.6504 (OH). The NPI Number for LISA M. THORNTON (PHD) is 1699164855

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
LISA M. THORNTON (PHD)
NPI
1699164855
Phone
(614) 293-9600
Address
1670 Upham Dr Fl 3
Enumeration Date
12 January 2015
Last Update Date
1 May 2026

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
6142939600
Graduation Year
2005 (21 years ago)
PAC ID
8022337773
Group Practice PAC ID
0749272714
Professional Enrollment ID
I20150501000909
Address ID
OH432101250CO1670XDRXX300
Telehealth
Yes

Contacts

Secure Messaging
lthorton329269@direct.osumc.edu
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness95
Years active:11State licenses:1Other names

1,139 CLINICAL PSYCHOLOGIST in OH

Provider Addresses for LISA M. THORNTON (PHD)

  • 1670 Upham Dr Fl 3

    Columbus, OH 432101250

    Phone: (614) 293-9600

    Fax: (614) 366-1215

    Type: Location

  • 700 ACKERMAN RD STE 2120

    COLUMBUS, OH 432021559

    Phone: (614) 293-9600

    Fax: (614) 366-1215

    Type: Mailing

  • 150 W MAIN ST FL 2

    NEW ALBANY, OH 430549229

    Phone: (614) 293-9600

    Fax: (614) 293-1456

    Type: Location

  • 2000 KENNY RD

    COLUMBUS, OH 432213555

    Phone: (614) 293-9777

    Fax: (614) 293-9776

    Type: Mailing

  • 1670 Upham Dr

    Columbus, OH 432101250

    Phone: (614) 293-9600

    Fax: (614) 293-3820

    Type: Location

  • 1670 UPHAM DR

    COLUMBUS, OH 432101250

    Phone: (614) 293-9600

    Fax: (614) 293-3820

    Type: Location

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: 2015-05-01

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
I20150501000909IClinical PsychologistOHTBD

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
90791Psychiatric diagnostic evaluation1212$0
View full utilization report →

Insurance plans in this area (ZIP 43210)

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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: 0749272714View full group profile
NameSpecialtyState
P S Y C H I A T R YOH
-OH
Nurse PractitionerOH
Clinical PsychologistOH
P S Y C H I A T R YOH
Nurse PractitionerOH
-OH
Nurse PractitionerOH
Clinical PsychologistOH
P S Y C H I A T R YOH

Reviews

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Frequently asked questions

How is LISA M. THORNTON (PHD) identified in CMS data?
CMS-hosted NPPES data lists LISA M. THORNTON (PHD) with NPI 1699164855.
Does the file indicate LISA M. THORNTON (PHD) is practicing under active NPI?
Directory data currently reports LISA M. THORNTON (PHD) as active.
What healthcare role does LISA M. THORNTON (PHD) hold?
Scheduling teams often label LISA M. THORNTON (PHD) under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is LISA M. THORNTON (PHD) based?
LISA M. THORNTON (PHD) is tied to Columbus, Ohio in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
7 practice locations appear in the available data.

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