Individual provider Active NPI

Lisa Harding, M.D.

  • Psychiatry Physician
  • Milford, CT
National Provider Identifier
1629427778
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
064050 Issued in CT
Practice address
472 Wheelers Farms Rd Ste 306
Milford, CT 06461-9109
Phone
(563) 676-8923
Fax
(859) 545-5013
NPI assigned
Jun 9, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 94-09029 KS
Psychiatry Physician 2084P0800X 064050 CT Primary

Addresses

Primary practice location

472 Wheelers Farms Rd Ste 306
Milford, CT 06461-9109

Mailing address

472 Wheelers Farms Rd Ste 306
Milford, CT 06461-9109
Phone (203) 701-9737

Other practice location 1

3530 Post Rd Ste 302
Southport, CT 06890-1169
Phone (203) 701-9737

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200804000824 CT Practitioner - Psychiatry 7719271451 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Mood Institute PLLCGroup PAC ID 4082039375, 2 clinicians

Practice addresses (Care Compare)

472 Wheelers Farms Rd
Suite 306
Milford, CT 06461-9109
Phone (203) 701-9737

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
94-09029KSMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mood Institute PLLC Psychiatry CurrentSince Jun 20, 2020 Accepting new patients

Locations

472 Wheelers Farms Rd
Ste 306
Milford, CT 06461
Phone (203) 701-9737

3530 Post Rd
Ste 302
Southport, CT 06890
Phone (203) 701-9737

Interoperability endpoints

  • Direct secure messaging: lisaharding@145962.advancedmd-direct.com

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": "1465430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1629427778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 WHEELERS FARMS RD STE 306",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064619109",
            "telephone_number": "203-701-9737",
            "fax_number": "877-325-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "472 WHEELERS FARMS RD STE 306",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064619109",
            "telephone_number": "563-676-8923",
            "fax_number": "859-545-5013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Post Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "CT",
            "postal_code": "068901169",
            "country_code": "US",
            "telephone_number": "203-701-9737",
            "fax_number": "877-325-2241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDING",
        "first_name": "LISA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-09",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "KS",
            "license": "94-09029",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CT",
            "license": "064050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

Verify at the official NPI Registry.