DR. LISA M HOLME (PSY.D.) – Clinical Neuropsychologist, NPI 1720042708

DR. LISA M HOLME (PSY.D.) is a healthcare provider. based in Wallingford, Connecticut. specializing in Clinical Neuropsychologist. They hold the professional credentials PSY.D.. They hold a License No. 002534 (CT). The NPI Number for DR. LISA M HOLME (PSY.D.) is 1720042708

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DR. LISA M HOLME (PSY.D.)
NPI
1720042708
Phone
(203) 741-3486
Address
400 GAYLORD FARMS ROAD
Enumeration Date
14 April 2006
Last Update Date
30 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8606797503
Graduation Year
2003 (23 years ago)
PAC ID
5597720888
Group Practice PAC ID
3678472016
Professional Enrollment ID
I20041129000488

Contacts

Secure Messaging
lholme33881@direct.med.uchc.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

Provider Addresses for DR. LISA M HOLME (PSY.D.)

  • 400 GAYLORD FARMS ROAD

    WALLINGFORD, CT 06492

    Phone: (203) 741-3486

    Mailing address matches the actual address.

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: 2004-11-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20041129000488IClinical PsychologistCTTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96133Evaluation of neuropsychological test, each additional hour10640$0
96137Administration of psychological or neuropsychological test, each additional 30 minutes10624$0
96116Exam of neurobehavioral status, first hour4141$0
96132Evaluation of neuropsychological test, first hour4139$0
96136Administration of psychological or neuropsychological test, first 30 minutes2828$0
View full utilization report →

Insurance plans in this area (ZIP 06492)

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Provider's Procedures

DR. LISA M HOLME (PSY.D.) performs procedures in Clinical Neuropsychologist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHOLOGIST, CLINICALCT96118Neuropsychological testing, interpretation, and report by psychologist or physician per hour10914

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: 3678472016View full group profile
NameSpecialtyState
N E U R O S U R G E R YNY
E N D O C R I N O L O G YVA
Orthopedic SurgeryCT
Orthopedic SurgeryCT
Endocrinology, Internal MedicineCT
Critical Care (Intensivists)CT
Hospitalist, Internal MedicineCT
Gynecological OncologyNY
Physician AssistantCT
Hand Surgery, Orthopedic SurgeryCT

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Frequently asked questions

Is DR. LISA M HOLME (PSY.D.) listed with a National Provider Identifier?
Yes — DR. LISA M HOLME (PSY.D.) has NPI 1720042708 on file in the registry.
Is DR. LISA M HOLME (PSY.D.) shown as active in public data?
Registry records indicate DR. LISA M HOLME (PSY.D.) maintains an active NPI.
What clinical focus is listed for DR. LISA M HOLME (PSY.D.)?
At a glance, DR. LISA M HOLME (PSY.D.) is tied to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. LISA M HOLME (PSY.D.)?
Travel planning: use Wallingford, Connecticut as the reference point for DR. LISA M HOLME (PSY.D.), then confirm.
Does DR. LISA M HOLME (PSY.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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