Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa K Pass, PHD

Individual provider Clinical Child & Adolescent Psychologist · NPI 1659494953

Dr. Lisa K Pass, PHD is a Clinical Child & Adolescent Psychologist in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

240 W 102nd St Ste 15
New York, NY 10025-4900
Phone: (917) 974-9150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

School Psychologist (primary) Taxonomy 103TS0200X · Licence 009732 (NY)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 009732 (NY)

Record details

NPI number1659494953
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedApril 9, 2007
Last updated in NPPESMay 23, 2013

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