Dr Lisa A Breisch, PSYD is a
Psychologist based in Loves Park, Illinois. Dr Lisa A Breisch is licensed to practice in Illinois (license number 180003465) and her current practice location is
Harmony Center For Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 639-0300.
NPI number for Dr Lisa A Breisch is 1629099627 and her current mailing address is Harmony Center For Holistic Psychotherapy, 6625 N. 2nd Street, Loves Park, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1629099627.
Healthcare Provider's Profile
| Full Name | Dr Lisa A Breisch |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist |
|---|
| Location | Harmony Center For Holistic Psychotherapy, Loves Park, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629099627
- Provider Enumeration Date: 07/22/2006
- Last Update Date: 02/27/2020
Medical Identifiers
Medical identifiers for Dr Lisa A Breisch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629099627 | NPI | - | NPPES |
| 180-003465 | Other | IL | ILLINOIS STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TF0000X | Psychologist - Family | 180003465 (Illinois) | Secondary |
| 103TH0004X | Psychologist - Health | 180003465 (Illinois) | Secondary |
| 103TP2701X | Psychologist - Group Psychotherapy | 18003465 (Illinois) | Secondary |
| 103T00000X | Psychologist | 180003465 (Illinois) | Primary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 180003465 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 180003465 (Illinois) | Secondary |
| 103TC1900X | Psychologist - Counseling | 180003465 (Illinois) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 180003465 (Illinois) | Secondary |
| 103TF0000X | Psychologist - Family | 18003465 (Illinois) | Secondary |
| 101YM0800X | Counselor - Mental Health | 18003465 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | 18003465 (Illinois) | Secondary |
| 103TB0200X | Psychologist - Cognitive & Behavioral | 18003465 (Illinois) | Secondary |
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. Dr Lisa A Breisch 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 Address | Practice Location Address |
|---|
Dr Lisa A Breisch, PSYD
Harmony Center For Holistic Psychotherapy, 6625 N. 2nd Street,
Loves Park, IL 61111
Ph: (815) 639-0300 | Dr Lisa A Breisch, PSYD
Harmony Center For Holistic Psychotherapy, 6625 N. 2nd Street,
Loves Park, IL 61111
Ph: (815) 639-0300 |
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