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DR. LISA A. BREISCH PSY.D. NPI 1629099627


NPI Information

NPI: 1629099627
Provider Name: DR. LISA A. BREISCH, PSY.D.
Classification: Psychologist - 103T00000X
Entity Type: Individual
Address:
HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY
6625 N. 2ND STREET
LOVES PARK, IL
ZIP 61111
Phone: (815) 639-0300
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DR. Lisa A. Breisch, PSY.D. is a psychologist in Loves Park, IL. The provider is a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. DR. Lisa A. Breisch, PSY.D. NPI is 1629099627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY
6625 N. 2ND STREET
LOVES PARK, IL
ZIP 61111
Phone: (815) 639-0300
Fax: (815) 639-0303

The enumeration date for this NPI number is 7/22/2006 and was last updated on 2/27/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TF0000XPsychologistFamily180003465ILLINOISNo
2103TH0004XPsychologistHealth180003465ILLINOISNo
3103TP2701XPsychologistGroup Psychotherapy18003465ILLINOISNo
4103T00000XPsychologist180003465ILLINOISYes
5103TB0200XPsychologistCognitive & Behavioral180003465ILLINOISNo
6103TC0700XPsychologistClinical180003465ILLINOISNo
7103TC1900XPsychologistCounseling180003465ILLINOISNo
8103TC2200XPsychologistClinical Child & Adolescent180003465ILLINOISNo
9103TF0000XPsychologistFamily18003465ILLINOISNo
10101YM0800XCounselorMental Health18003465ILLINOISNo
11101YP2500XCounselorProfessional18003465ILLINOISNo
12103TB0200XPsychologistCognitive & Behavioral18003465ILLINOISNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1180-003465OTHERILLINOISILLINOIS STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.