Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659826659 Individual Practitioner Female Practitioner

Lisette D. Restrepo , PSY S, LSP, NCSP

Psychologist • Miami, FL

Professional Overview & Biography Verified Profile Summary

Lisette Restrepo, PSY S, LSP, NCSP is a registered healthcare professional specializing in Psychologist in Miami, FL. Practice services are available at 4812 SW 74TH CT # 3 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4812 Sw 74th Ct # 3

Miami, FL 331554448

Telephone 7862553752
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Psychologist in Miami, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.0 Yrs
State Avg: 25.8 Yrs
Regional Practice Density
202 Specialists

Practicing in Miami, FL (2327 Statewide)

Telehealth Adoption Rate
3.5% 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: 2025-10-01
Psychologist Primary Specialty

NUCC Taxonomy Code: 103T00000X

State License FL SS1246

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.

Psychologist - School

NUCC Taxonomy Code: 103TS0200X

State License FL SS1246

A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide a range of psychological diagnosis, assessment, intervention, prevention, health promotion, and program development and evaluation services with a special focus on the developmental processes of children and youth within the context of schools, families and other systems. School psychologists are prepared to intervene at the individual and system level, and develop, implement, and evaluate preventive programs. In these efforts, they conduct ecologically valid assessments and intervene to promote positive learning environments within which children and youth from diverse backgrounds to ensure that all have equal access to effective educational and psychological services that promote healthy development

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
018914800 (FL)
Commercial Insurance / Payer ID Caqh
13878294 (FL)

Practice Associates & Co-Workers

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

6 Associated Practitioners
Cindy Colvin

Psychologist

NPI 1083325096
Gretchen Cabranes , LSP

Psychologist - School

NPI 1245961416
Danielle Reece

Psychologist

NPI 1306261847
Aprill Allen

Psychologist - School

NPI 1457271975
NPI 1578002234
Andrew Werner

Case Manager/Care Coordinator

NPI 1679832547

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location October 01, 2025

Registered at 4812 SW 74TH CT # 3, MIAMI, FL 331554448 (Tel: 7862553752)

📍
Updated Business Mailing Address October 01, 2025

Registered at 4812 SW 74TH CT # 3, MIAMI, FL 331554448 (Tel: 7862553752)

📍
Updated Business Mailing Address January 28, 2025

Registered at 7001 SW 97TH AVE STE 206, MIAMI, FL 331731410 (Tel: 7862553752)

📍
Updated Practice Location October 29, 2024

Registered at 7001 SW 97TH AVE STE 206, MIAMI, FL 331731410 (Tel: 7865298378)

👤
Provider Name / Credentials Updated October 29, 2024

Recorded as LISETTE RESTREPO, PSY. S., LSP, NCSP

📍
Updated Practice Location April 02, 2021

Registered at 15192 SW 137TH ST STE 13, MIAMI, FL 331965786 (Tel: 7865298378)

NPI Profile Active August 18, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 18, 2016

Registered at 100 BISCAYNE BLVD, MIAMI, FL 331322304 (Tel: 7865298378)

📍
Updated Business Mailing Address August 18, 2016

Registered at 11450 SW 105TH TER, MIAMI, FL 331763129 (Tel: 7862553752)

👤
Provider Name / Credentials Updated August 18, 2016

Recorded as LISETTE RIERA, PSY. S.,

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 18, 2016

Psychologist (License #SS1246 in FL)

🟢
Initial NPI Registration & Enumeration August 18, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1659826659
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 18, 2016
Last Update: October 01, 2025
Sole Proprietor: Yes

Mailing Address

4812 Sw 74th Ct # 3

Miami, FL 331554448

Phone: 7862553752

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.