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DR. LISA M HOLME PSY.D.
NPI 1720042708
Clinical Neuropsychologist in Wallingford, CT

Active since April 14, 2006PECOS Enrolled
79.34/100
CMS Quality Rating
400 GAYLORD FARMS ROAD, WALLINGFORD, CT 06492(203) 741-3486 Get Directions Write a Review

NPPES record last updated: September 30, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Lisa M Holme Psy.d. NPPES

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

DR. LISA M HOLME PSY.D. (NPI 1720042708) is an individual clinical neuropsychologist in Wallingford, Connecticut, licensed in Connecticut (002534) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720042708
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameDR. LISA M HOLMECredential: PSY.D.
Location Address400 GAYLORD FARMS ROADWallingford, CT 06492
Mailing Address400 Gaylord Farms RoadWallingford, CT 06492 · (203) 741-3486
Phone(203) 741-3486
Sole ProprietorNo
Enumeration DateApril 14, 2006
Last NPPES UpdateSeptember 30, 2022
NPPES CertifiedSeptember 30, 2022
✔ NPI 1720042708 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 CT · 002534
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.
400 GAYLORD FARMS ROAD, Wallingford, CT 06492
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Lisa M Holme 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Lisa Holme reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Connecticut Health Center
18 mi
General Practice
263 FARMINGTON AVE
Farmington, CT 06030
  • Reassigned Medicare billing, Connecticut enrollment
  • 788 clinicians in this Medicare group
NPI 1720083769 (860) 679-7503
Harvest Healthcare LLC
23 mi
Clinical
21 WATERVILLE RD
Avon, CT 06001
  • Reassigned Medicare billing, Connecticut enrollment
  • 144 clinicians in this Medicare group
NPI 1477712917 (860) 284-0182
State Of Connecticut
39 mi
Magnetic Resonance Imaging (MRI)
850 BOLTON RD UNIT 1271
Storrs, CT 06269
  • Reassigned Medicare billing, Connecticut enrollment
  • 186 clinicians in this Medicare group
NPI 1871095851 (860) 486-3108

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.22
Promoting Interoperability100
Improvement Activities40
Cost48.08

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 Holme's NPI number?

The NPI number for Lisa Holme is 1720042708. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Lisa Holme located?

Lisa Holme practices at 400 Gaylord Farms Road, Wallingford, CT 06492. The listed phone number is (203) 741-3486.

What is Lisa Holme's specialty?

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

Is Lisa Holme enrolled in Medicare?

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

Which organizations bill Medicare for Lisa Holme's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Holme reassigns Medicare benefits to 3 organizations: University Of Connecticut Health Center (Farmington, CT), Harvest Healthcare LLC (Avon, CT) and State Of Connecticut (Storrs, CT). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisa Holme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Lisa Holme was last updated on September 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.