Individual provider Active NPI

Lisa Faraldo, PH.D.

  • Clinical Psychologist
  • Boca Raton, FL
National Provider Identifier
1285882050
Registry record updated Apr 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PY7777 Issued in FL
Practice address
2295 NW Corporate Blvd Ste 231
Boca Raton, FL 33431-7323
Phone
(954) 812-0900
NPI assigned
Sep 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PY7777 FL Primary

Addresses

Primary practice location

2295 NW Corporate Blvd Ste 231
Boca Raton, FL 33431-7323

Mailing address

2295 NW Corporate Blvd Ste 231
Boca Raton, FL 33431-7323
Phone (954) 812-0900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090326000500 FL Practitioner - Clinical Psychologist 3971660499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2295 NW Corporate Blvd
Suite 231
Boca Raton, FL 33431-7323
Phone (954) 812-0900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PY7777FLMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespan Health Services LLC CurrentSince Dec 7, 2009 Accepting new patients
Lisa Faraldo PHD PA Clinical Past Accepting new patients

Locations

140 John F Kennedy Dr
Ste 146
Atlantis, FL 33462
Phone (561) 969-0102

2295 NW Corporate Blvd
Ste 231
Boca Raton, FL 33431
Phone (561) 241-8822

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1285882050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2295 NW CORPORATE BLVD STE 231",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317323",
            "telephone_number": "954-812-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2295 NW CORPORATE BLVD STE 231",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334317323",
            "telephone_number": "954-812-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARALDO",
        "first_name": "LISA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-04",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY7777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.