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DR. LISA SUSAN TALBOT PH.D.
NPI 1114295136
Psychologist - Clinical in Palo Alto, CA

Active since December 05, 2011Opted out of Medicare · through Apr 25, 2028
618 HAMILTON AVE, PALO ALTO, CA 94301(650) 799-0810 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Susan Talbot Ph.d. NPPES

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

DR. LISA SUSAN TALBOT PH.D. (NPI 1114295136) is an individual clinical provider in Palo Alto, California, licensed in California (27171) and active in the NPI registry since December 2011. She has opted out of Medicare through April 25, 2028.

NPPES Registry Identity

NPI1114295136
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA SUSAN TALBOTCredential: PH.D.
Location Address618 HAMILTON AVEPalo Alto, CA 94301
Mailing Address622 Mountain View AveMountain View, CA 94041-1943 · (650) 799-0810
Phone(650) 799-0810
Sole ProprietorNo
Enumeration DateDecember 5, 2011
Last NPPES UpdateJune 1, 2015
✔ NPI 1114295136 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 · 27171
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.
618 HAMILTON AVE, Palo Alto, CA 94301
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Susan Talbot Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 25, 2024 through April 25, 2028.

Opt-Out Effective DateApril 25, 2024
Opt-Out In Effect ThroughApril 25, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Talbot's NPI number?

The NPI number for Lisa Talbot is 1114295136. It was assigned to this individual provider in the NPPES registry on December 5, 2011.

Where is Lisa Talbot located?

Lisa Talbot practices at 618 Hamilton Ave, Palo Alto, CA 94301. The listed phone number is (650) 799-0810.

What is Lisa Talbot's specialty?

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

Is Lisa Talbot enrolled in Medicare?

No. Lisa Talbot has opted out of Medicare through April 25, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Talbot was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.