Dr. Lisa Joyce Keller Salvaggio , PsyD, LP
Psychologist • Thief River Falls, MN
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Lisa Keller Salvaggio has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Lisa Keller Salvaggio, PsyD, LP was a registered Psychologist practicing in Thief River Falls, MN. Throughout an active medical career spanning 26 years, Dr. Keller Salvaggio provided care at the practice location at 120 LABREE AVE S until profile deactivation on 2023-09-07.
Dr. Keller Salvaggio was affiliated with Sanford Health Network North and accepted Medicare assignment.
Historical Medicare Part B clinical services included psychotherapy, group psychotherapy. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
120 Labree Ave S
Thief River Falls, MN 567012819
Medicare Profile & Education
Other
1997
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Psychologist in Thief River Falls, MN
Practicing in Thief River Falls, MN (1833 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
90832
Psychotherapy, 30 minutes
|
67 | 17 | $180.09 | $68.52 |
|
90853
Group psychotherapy
|
59 | 19 | $72.83 | $23.94 |
|
90834
Psychotherapy, 45 minutes
|
19 | 12 | $193.42 | $90.29 |
Medical Specialties & State Licenses
CMS Verified: 2024-11-04NUCC Taxonomy Code: 103T00000X
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.
Additional State Medicaid & Healthcare Payer Identifiers
Hospital & Practice Group Affiliations
Sanford Health Network North
1720 Hwy 59 S, Thief River Falls, MN 567014331
Phone: 2186814747
Sanford Health Network North
120 Labree Ave S, Thief River Falls, MN 567012819
Phone: 2186834349
Secondary Practice Locations
3615 17th St S
Moorhead, MN 565607050
Phone: 7017207222
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Counselor - Professional
Licensed Independent Clinical Social Worker, Licensed Alcohol and Drug Counselor
Counselor - Professional
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Registered at 120 LABREE AVE S, THIEF RIVER FALLS, MN 567012819 (Tel: 2186834349)
Registered at PO BOX 5074, SIOUX FALLS, SD 571175074
Recorded as LISA KELLER SALVAGGIO, PSY.D., LP
Psychologist (License #LP6349 in MN)
Registered at 3505 8TH ST S STE 3, MOORHEAD, MN 565605108 (Tel: 7015320991)
Registered at 4342 15TH AVE S STE 103, FARGO, ND 581031125 (Tel: 7015320991)
Registered at 3505 8TH ST S STE 3, MOORHEAD, MN 565605108 (Tel: 7015320991)
Recorded as LISA KELLER, PSY.D., LP
Counselor (License #9291217300 in ND)
Record deactivated on September 07, 2023
Registered at 600 22ND AVE NW STE 4, MINOT, ND 587030986 (Tel: 7018521180)
Recorded as LISA KELLER, PSY.D., LP
Registered at 600 22ND AVE NW STE B2, MINOT, ND 587030986 (Tel: 7018521180)
Registered at 600 22ND AVE NW STE B2, MINOT, ND 587030986 (Tel: 7018521180)
Recorded as LISA KELLER SCHAFER, PSY.D., LP
Counselor (License #9291217300 in ND)
Counselor (License #CC00782 in MN)
Psychologist (License #782 in MN)
Psychologist (License #782 in MN)
NPI status registered as active in NPPES database
Registered at 120 LABREE AVE S, THIEF RIVER FALLS, MN 567012819 (Tel: (218) 683-4333)
Registered at 120 LABREE AVE S, THIEF RIVER FALLS, MN 567012819 (Tel: (218) 683-4333)
Recorded as LISA KELLER SCHAFER, PSY.D., LPCC
Counselor (License #CC00782 in MN)
NPI status registered as active in NPPES database
Registered at 1058 COLLEGE DR, NEW TOWN, ND 587639112 (Tel: 7016277777)
Registered at 1058 COLLEGE DR, NEW TOWN, ND 587639112 (Tel: 7016277777)
Recorded as LISA KELLER SCHAFER, PSY.D., LPCC
Counselor (License #CC00782 in MN)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 5074
Sioux Falls, SD 571175074
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