David Lisak, PHD - Psychologist in Placitas, NM

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David Lisak, PHD is a Psychologist - Forensic based in Placitas, New Mexico. David Lisak is licensed to practice in Massachusetts (license number 6295) and his current practice location is 42 Agua Sarca Rd, Placitas, New Mexico. He can be reached at his office (for appointments etc.) via phone at (617) 947-4119.

NPI number for David Lisak is 1629562269 and his current mailing address is 42 Agua Sarca Rd, Placitas, New Mexico. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629562269.

Contact Information

David Lisak, PHD
42 Agua Sarca Rd,
Placitas, NM 87043-9404
(617) 947-4119
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDavid Lisak
GenderMale
SpecialityPsychologist - Forensic
Location42 Agua Sarca Rd, Placitas, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629562269
  • Provider Enumeration Date: 06/18/2018
  • Last Update Date: 06/18/2018

Medical Identifiers

Medical identifiers for David Lisak such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629562269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0200XPsychologist - Forensic 6295 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. David Lisak is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
David Lisak, PHD
42 Agua Sarca Rd,
Placitas, NM 87043-9404

Ph: () -		David Lisak, PHD
42 Agua Sarca Rd,
Placitas, NM 87043-9404

Ph: (617) 947-4119

Reviews and Comments


Psychologist in Placitas, NM

Jeffrey Alan Franken, LMHC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 9 Calle Ponderosa, Placitas, NM 87043
Phone: 505-220-9478    

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