DR. LISA WEYANDT (PH.D.) – Psychologist, NPI 1124479977

DR. LISA WEYANDT (PH.D.) is a healthcare provider. based in Newport, Rhode Island. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PS01554 (RI). The NPI Number for DR. LISA WEYANDT (PH.D.) is 1124479977

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA WEYANDT (PH.D.)
NPI
1124479977
Phone
(509) 859-3426
Address
16 Ellery Rd
Enumeration Date
23 June 2016
Last Update Date
12 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012685333
Graduation Year
1991 (35 years ago)
PAC ID
3476092024
Group Practice PAC ID
4880021658
Professional Enrollment ID
I20240827001738
Address ID
RI028523638NO420XXRDXX302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

251 CLINICAL PSYCHOLOGIST in RI

Provider Addresses for DR. LISA WEYANDT (PH.D.)

  • 16 Ellery Rd

    Newport, RI 028402821

    Phone: (509) 859-3426

    Type: Location

  • 16, Ellery Road, Ward 2, Newport, Newport County, Rhode Island, 02840, United States

    NEWPORT, RI 028402821

    Phone: (509) 859-3426

    Type: Mailing

  • 47 DANIELSON PIKE

    NORTH SCITUATE, RI 028571892

    Phone: (401) 268-5333

    Fax: (855) 268-5333

    Type: Mailing

  • 420 SCRABBLETOWN RD STE A

    NORTH KINGSTOWN, RI 028523638

    Phone: (401) 268-5333

    Fax: (855) 268-5333

    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: 2024-08-27

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
I20240827001738IClinical PsychologistRITBD

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 02840)

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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: 4880021658View full group profile
NameSpecialtyState
Nurse PractitionerCT
Clinical PsychologistRI
Nurse PractitionerIL
Nurse PractitionerRI
Nurse PractitionerRI
Nurse PractitionerRI
Psychiatry, Geriatric PsychiatryRI
Mental Health CounselorRI
Clinical PsychologistRI
Nurse PractitionerMA

Reviews

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Frequently asked questions

Can I use this page to confirm DR. LISA WEYANDT (PH.D.)'s NPI?
Yes. DR. LISA WEYANDT (PH.D.) is listed with NPI 1124479977 in the public NPI dataset.
Does CMS list DR. LISA WEYANDT (PH.D.) as active?
Yes — DR. LISA WEYANDT (PH.D.) is active in the NPI listing used on this page.
What healthcare role does DR. LISA WEYANDT (PH.D.) hold?
Scheduling teams often label DR. LISA WEYANDT (PH.D.) under Psychologist. Clinical services aligned with this taxonomy classification.
Where is DR. LISA WEYANDT (PH.D.) based?
DR. LISA WEYANDT (PH.D.) is tied to Newport, Rhode Island in the data we show; additional addresses may exist on the full record.
Why does DR. LISA WEYANDT (PH.D.) have multiple addresses?
5 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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