DR. LISA MARIE BOTTICELLI PH.D.
NPI 1992473961
Psychologist - Clinical in Sarasota, FL

Q: What is Lisa Botticelli's NPI number?

The NPI number for Lisa Botticelli is 1992473961. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Q: What is Lisa Botticelli's specialty?

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

Q: Is Lisa Botticelli enrolled in Medicare?

No. Lisa Botticelli has opted out of Medicare through May 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Lisa Botticelli was last updated on July 18, 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.

Active since September 02, 2021Opted out of Medicare · through May 2, 2027

320 CENTRAL AVE UNIT 311, SARASOTA, FL 34236(203) 451-3100 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 18, 2024, May 10, 2024, Oct 19, 2022 (3 updates tracked since 2022).

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About Dr. Lisa Marie Botticelli Ph.d. NPPES

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

DR. LISA MARIE BOTTICELLI PH.D. (NPI 1992473961) is an individual clinical provider in Sarasota, Florida, licensed in New York (025315) and active in the NPI registry since September 2021. She has opted out of Medicare through May 2, 2027.

NPPES Registry Identity

NPI1992473961

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. LISA MARIE BOTTICELLICredential: PH.D.

Location Address320 CENTRAL AVE UNIT 311Sarasota, FL 34236-5130

Mailing Address320 Central Ave Unit 311Sarasota, FL 34236-5130 · (203) 451-3100

Phone(203) 451-3100

Sole ProprietorNo

Enumeration DateSeptember 2, 2021

Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration

NPPES CertifiedJuly 18, 2024

✔ NPI 1992473961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in NY · 025315✔ Licensed in CT · 4503

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.

320 CENTRAL AVE UNIT 311, Sarasota, FL 34236

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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 Marie Botticelli 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 May 2, 2025 through May 2, 2027.

Opt-Out Effective DateMay 2, 2025

Opt-Out In Effect ThroughMay 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 34236 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

$171.84 typical visit price

range $56.00 – $171.84

Typical copayment $42.96 (range $14.00 – $42.96)

Most-billed visit code 99205

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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.

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 Botticelli's NPI number?

The NPI number for Lisa Botticelli is 1992473961. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Where is Lisa Botticelli located?

Lisa Botticelli practices at 320 Central Ave Unit 311, Sarasota, FL 34236. The listed phone number is (203) 451-3100.

What is Lisa Botticelli's specialty?

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

Is Lisa Botticelli enrolled in Medicare?

No. Lisa Botticelli has opted out of Medicare through May 2, 2027. 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 Botticelli was last updated on July 18, 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.