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DR. LISA BOLDEN PSY.D.
NPI 1104991025
Psychologist - Clinical in Torrance, CA

Active since November 24, 2006PECOS Enrolled
1000 W CARSON ST, TORRANCE, CA 90502(424) 306-5809(310) 328-7217 Get Directions Write a Review

NPPES record last updated: March 17, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Bolden Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LISA BOLDEN PSY.D. (NPI 1104991025) is an individual clinical provider in Torrance, California, licensed in California (PSY23098) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104991025
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA BOLDENCredential: PSY.D.
Location Address1000 W CARSON STTorrance, CA 90502-2004
Mailing Address1000 W Carson StTorrance, CA 90502-2004 · (424) 306-5809 · Fax (103) 283-7217
Phone(424) 306-5809
Fax(310) 328-7217
Sole ProprietorNo
Enumeration DateNovember 24, 2006
Last NPPES UpdateMarch 17, 2021
NPPES CertifiedMarch 17, 2021
✔ NPI 1104991025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY23098
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
1000 W CARSON ST, Torrance, CA 90502
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa Bolden Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90502 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MISS BRITTANY IRVINE M.A.
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
DEPAREMENT OF MANTAL HEALTH
Case Management
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1648
DINA M MEZA
Nurse Practitioner (Family)
1000 W CARSON ST, HEAD AND NECK BOX 6
TORRANCE, CA 90502
Los Angeles County (310) 222-2741
MARIA GUADALUPE VALADEZ
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (559) 789-1327
ESTEBAN COTA
Specialist
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
MS. DAWN MARIE TLUSTY RN
Registered Nurse (Infusion Therapy)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-1906
DR. NICOLE MOORE MD
Student in an Organized Health Care Education/Training Program
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (310) 222-2345
KENTON YUJI SAKURAI
Psychiatry & Neurology (Psychiatry)
1000 W CARSON ST
TORRANCE, CA 90502
Los Angeles County (424) 306-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lisa Bolden's NPI number?

The NPI number for Lisa Bolden is 1104991025. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Lisa Bolden located?

Lisa Bolden practices at 1000 W Carson St, Torrance, CA 90502. The listed phone number is (424) 306-5809.

What is Lisa Bolden's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lisa Bolden enrolled in Medicare?

Yes. Lisa Bolden is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Lisa Bolden was last updated on March 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.