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DR. LISA MEDALIE PSYD, CBSM
NPI 1609175744
Clinical Neuropsychologist in Evanston, IL

Active since March 15, 2011PECOS Enrolled
1101 DAVIS ST, EVANSTON, IL 60201(773) 702-6169 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lisa Medalie Psyd, Cbsm NPPES

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

DR. LISA MEDALIE PSYD, CBSM (NPI 1609175744) is an individual clinical neuropsychologist in Evanston, Illinois, licensed in Illinois (071.008089) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609175744
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LISA MEDALIECredential: PSYD, CBSM
Location Address1101 DAVIS STEvanston, IL 60201-5945
Mailing Address1101 Davis St Ste 5767Evanston, IL 60201-5945 · (844) 475-3379 · Fax (855) 644-2981
Phone(773) 702-6169
Sole ProprietorYes
Enumeration DateMarch 15, 2011
Last NPPES UpdateMarch 29, 2024
NPPES CertifiedJune 9, 2022
✔ NPI 1609175744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in IL · 071.008089
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
1101 DAVIS ST, Evanston, IL 60201
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

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 Medalie Psyd, Cbsm 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
22 services11 patients

Other Providers at the Same Location NPPES

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

MEGAN MCGUGAN PHD
Psychologist (Health)
1101 DAVIS ST
EVANSTON, IL 60201
Cook County (844) 475-3379

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 Medalie's NPI number?

The NPI number for Lisa Medalie is 1609175744. It was assigned to this individual provider in the NPPES registry on March 15, 2011.

Where is Lisa Medalie located?

Lisa Medalie practices at 1101 Davis St, Evanston, IL 60201. The listed phone number is (773) 702-6169.

What is Lisa Medalie's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Lisa Medalie enrolled in Medicare?

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

What insurance does Lisa Medalie accept?

Health plans from UnitedHealthcare list Lisa Medalie as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lisa Medalie was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.