Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1356128029 Individual Practitioner Female Practitioner

Dr. Lisa Russo Pettigrew , RSMT, PHD CANDIDATE

Psychoanalyst • Crestline, CA

Professional Overview & Biography Verified Profile Summary

Dr. Lisa Pettigrew, RSMT, PHD CANDIDATE is a registered healthcare professional specializing in Psychoanalyst in Crestline, CA. Practice services are available at 340 S STATE HIGHWAY 138 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

340 S State Highway 138

Crestline, CA 923259153

Telephone 9093363330
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychoanalyst in Crestline, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 51.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Crestline, CA (193 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-06
Psychoanalyst Primary Specialty

NUCC Taxonomy Code: 102L00000X

Psychoanalysis is a comprehensive, theoretical framework which, when applied to a treatment process, consists of an intensive verbal, therapeutic relationship between an analyst and an analysand which aims for symptom relief, emotional growth, and personal integration. The psychoanalytic treatment process includes, but is not limited to, the recognition of unconscious processes and conflicts; the significance of developmental influences; and the impact of resistances, defenses, transference and countertransference phenomena. Treatment is enhanced by an understanding developed in the analyst's training and personal analysis of unconscious manifestations, such as dreams, slips of the tongue, fantasies and day dreams. Psychoanalytic technique varies in relation to theoretical orientation.

Community Health Worker

NUCC Taxonomy Code: 172V00000X

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jennifer Thompson

Counselor - Mental Health

NPI 1033877998
Jennifer Jones

Day Training/Habilitation Specialist

NPI 1043092448
Louise Melendez

Student in an Organized Health Care Education/Training Program

NPI 1073090775
Lisa Colvin

Day Training/Habilitation Specialist

NPI 1164212825
Carmen Cabrera

Case Manager/Care Coordinator

NPI 1164892584
Adriana Roberts

Case Manager/Care Coordinator

NPI 1194482653

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2023

Community Health Worker

NPI Profile Active September 14, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location September 14, 2023

Registered at 340 S STATE HIGHWAY 138, CRESTLINE, CA 923259153 (Tel: 9093363330)

📍
Updated Business Mailing Address September 14, 2023

Registered at PO BOX 6300, CRESTLINE, CA 923256300 (Tel: 9093363330)

👤
Provider Name / Credentials Updated September 14, 2023

Recorded as LISA PETTIGREW, RSMT, PHD. CANDIDATE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2023

Counselor

🟢
Initial NPI Registration & Enumeration September 14, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1356128029
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2023
Last Update: February 06, 2025
Sole Proprietor: No

Mailing Address

Po Box 6300

Crestline, CA 923256300

Phone: 9093363330

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.