Individual provider Active NPI

Lisa Metler, PHD

  • Clinical Neuropsychologist
  • Novi, MI
National Provider Identifier
1013904796
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
4301008070 Issued in MI
Practice address
25500 Meadowbrook Rd Ste 150
Novi, MI 48375-1880
Phone
(248) 784-3667
Fax
(248) 869-3982
NPI assigned
Sep 29, 2005
Last updated
Mar 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 4301008070 MI Primary

Addresses

Primary practice location

25500 Meadowbrook Rd Ste 150
Novi, MI 48375-1880

Mailing address

25500 Meadowbrook Rd Ste 150
Novi, MI 48375-1880
Phone (248) 784-3667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000607 MI Practitioner - Clinical Psychologist 2264508548 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2149 Jolly Rd
Suite 500
Okemos, MI 48864-6028
Phone (517) 347-4645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4301008070MIMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
University Neurosurgical Associates, PC CurrentSince Mar 1, 2007 Accepting new patients
Karen Gallagher LMSW Acsw Professional Counseling SRVS LLC CurrentSince May 1, 2021 Accepting new patients
University Neurosurgical Associates PC CurrentSince Mar 1, 2007 Accepting new patients

Locations

2319 Momentum Pl
Chicago, IL 60689

25500 Meadowbrook Rd
Ste 150
Novi, MI 48375
Phone (248) 784-3667

46325 W Twelve Mile Rd
Ste 100
Novi, MI 48377
Phone (248) 618-2121

2149 Jolly Rd
Ste 500
Okemos, MI 48864
Phone 5173474645102

29275 Northwestern Hwy
Ste 100
Southfield, MI 48034
Phone (248) 351-6300

Interoperability endpoints

  • Direct secure messaging: lisa.metler.p1@direct.mhsineuro.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1013904796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751880",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25500 MEADOWBROOK RD STE 150",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751880",
            "telephone_number": "248-784-3667",
            "fax_number": "248-869-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METLER",
        "first_name": "LISA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MI",
            "license": "4301008070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.