LISA METLER (PHD) – Clinical Neuropsychologist, NPI 1013904796

LISA METLER (PHD) is a healthcare provider. based in Southfield, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 4301008070 (MI). The NPI Number for LISA METLER (PHD) is 1013904796

Main info

Female
Accepts Medicare Assignment
Name
LISA METLER (PHD)
NPI
1013904796
Phone
(877) 784-3667
Address
29275 NORTHWESTERN HWY
Enumeration Date
29 September 2005
Last Update Date
5 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173474645
Graduation Year
null (2026 years ago)
PAC ID
2264508548
Group Practice PAC ID
4183781297
Professional Enrollment ID
I20080910000607
Address ID
MI488646028OK2149XRDXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for LISA METLER (PHD)

  • Northwestern Highway, Southfield, Oakland County, Michigan, 48235, United States

    STE 100

    SOUTHFIELD, MI 480341044

    Phone: (877) 784-3667

    Fax: (248) 784-3743

    Type: Mailing

  • Twelve Mile Road, Yarragundry, Wagga Wagga City Council, New South Wales, 2650, Australia

    STE. 100

    NOVI, MI 48377

    Phone: (877) 784-3667

    Fax: (248) 869-3982

    Type: Location

  • 25500 MEADOWBROOK RD STE 150

    NOVI, MI 483751880

    Phone: (248) 784-3667

    Fax: (248) 869-3982

    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: 2008-09-10

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
I20080910000607IClinical PsychologistMITBD

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 48034)

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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: 4183781297View full group profile
NameSpecialtyState
Nurse PractitionerMI
Clinical Social WorkerMI
Mental Health CounselorMI
Clinical PsychologistMI
Clinical Social WorkerMI
-MI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

Is LISA METLER (PHD) listed with a National Provider Identifier?
Yes — LISA METLER (PHD) has NPI 1013904796 on file in the registry.
Active or inactive — what applies to LISA METLER (PHD)?
You should see LISA METLER (PHD) as active in CMS-hosted NPPES data.
What clinical focus is listed for LISA METLER (PHD)?
At a glance, LISA METLER (PHD) is tied to Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Is LISA METLER (PHD) associated with Southfield?
Public fields place LISA METLER (PHD) around Southfield, Michigan. Always confirm the exact site before visiting.
Can I trust this NPI listing for LISA METLER (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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