MARIA L LIZARDO (PSYD) – Clinical Psychologist, NPI 1669966842

MARIA L LIZARDO (PSYD) is a healthcare provider. based in Old lyme, Connecticut. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PSYD. They hold a License No. 37892 (TX). The NPI Number for MARIA L LIZARDO (PSYD) is 1669966842

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
MARIA L LIZARDO (PSYD)
NPI
1669966842
Phone
(800) 370-3651
Address
55 HATCHETTS HILL RD
Enumeration Date
20 June 2018
Last Update Date
22 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2014 (12 years ago)
PAC ID
3274571682
Group Practice PAC ID
0446778328
Professional Enrollment ID
I20180705002472
Address ID
TX751894307FA112XXDRXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness85
Years active:7State licenses:2Digital endpointsOther names

1,347 CLINICAL PSYCHOLOGIST in TX

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Provider Addresses for MARIA L LIZARDO (PSYD)

  • 55, Hatchetts Hill Road, Old Lyme, New London County, Connecticut, 06371, United States

    OLD LYME, CT 063711534

    Phone: (800) 370-3651

    Fax: (877) 515-7147

    Type: Mailing

  • 620, East 7th Street, Dirty Sixth, Austin, Travis County, Texas, 78701, United States

    AUSTIN, TX 787013218

    Phone: (800) 370-3651

    Fax: (877) 515-7147

    Type: Location

  • 1801 RED BUD LN STE B215

    ROUND ROCK, TX 786643813

    Phone: (512) 521-4736

    Fax: (815) 550-8746

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180705002472IClinical PsychologistTXTBD
I20230130000698IClinical PsychologistNYTBD
I20250422002842IClinical PsychologistWVTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06371)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0446778328View full group profile
NameSpecialtyState
Mental Health CounselorTX
Clinical PsychologistTX
Clinical PsychologistTX
Mental Health CounselorTX
Clinical PsychologistTX
Clinical PsychologistCA
Clinical PsychologistTX
Mental Health CounselorTX
Mental Health CounselorTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Where can patients find MARIA L LIZARDO (PSYD)'s NPI?
You can confirm MARIA L LIZARDO (PSYD) with NPI 1669966842; it appears in the national provider directory.
Is MARIA L LIZARDO (PSYD) currently active in the NPI registry?
CMS-published data lists MARIA L LIZARDO (PSYD) as an active registrant.
What field does MARIA L LIZARDO (PSYD) work in?
You can think of MARIA L LIZARDO (PSYD) as practicing within Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does MARIA L LIZARDO (PSYD) practice in Connecticut?
You will see Old Lyme, Connecticut on file for MARIA L LIZARDO (PSYD) alongside any extra practice locations.
Is MARIA L LIZARDO (PSYD) a real provider?
This page reflects official NPPES data for NPI 1669966842. Always confirm identity and privileges with the practice and licensing boards.