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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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 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.

When was this NPI record last updated?

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