Active NPI
Lisa Faraldo, PH.D.
- Clinical Psychologist
- Boca Raton, FL
National Provider Identifier
1285882050
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PY7777
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| PY7777 | FL | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifespan Health Services LLC | Current | 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.
-
- Health Service Psychologist
- Boca Raton, FL
- NPI 1457520025
-
- Clinical Psychologist
- Pompano Beach, FL
- NPI 1457686453
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.