Individual provider Active NPI

Maria L Lizardo, PSYD

  • Clinical Psychologist
  • Round Rock, TX
National Provider Identifier
1669966842
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
37892 Issued in TX
Practice address
1801 Red Bud LN Ste B215
Round Rock, TX 78664-3813
Phone
(512) 521-4736
Fax
(815) 550-8746
NPI assigned
Jun 20, 2018
Last updated
Oct 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 37892 TX Primary
Clinical Psychologist 103TC0700X 023145 NY

Addresses

Primary practice location

1801 Red Bud LN Ste B215
Round Rock, TX 78664-3813

Mailing address

1801 Red Bud LN Ste B215
Round Rock, TX 78664-3813
Phone (512) 521-4736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NY, WV3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20180705002472 TX Practitioner - Clinical Psychologist 3274571682 Reassigns benefits to 1 organization
Practice locations: Round Rock, TX
I20230130000698 NY Practitioner - Clinical Psychologist 3274571682 Practice locations: New York, NY
I20250422002842 WV Practitioner - Clinical Psychologist 3274571682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meditelecare of West Virginia PLLCGroup PAC ID 5496018509, 18 clinicians
Faithful Therapy TX CorporationGroup PAC ID 0446778328, 17 clinicians

Practice addresses (Care Compare)

100 Hillcrest Dr
Williamson, WV 25661-3948
Phone (832) 742-0117

825 Watters Creek Blvd
Suite 250
Allen, TX 75013-3770
Phone (833) 231-4673

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37892TXMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
In Service of Thee PLLC CurrentSince Nov 12, 2023 Accepting new patients
Meditelecare of West Virginia PLLC Clinical CurrentSince Mar 20, 2025 Accepting new patients
Faithful Therapy TX Corporation CurrentSince May 1, 2025 Accepting new patients
Maria L Lizardo Clinical CurrentSince Oct 1, 2022 Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

825 Watters Creek Blvd
Ste 250
Allen, TX 75013
Phone (833) 231-4673

15901 Central Commerce Dr
Ste 502
Pflugerville, TX 78660
Phone (512) 251-1611

1801 Red Bud Ln
Ste B215
Round Rock, TX 78664
Phone (413) 862-9492

2051 Gattis School Rd
Ste 540
Round Rock, TX 78664

400 Fairview Heights Rd
Summersville, WV 26651
Phone (304) 872-2891

100 Hillcrest Dr
Williamson, WV 25661
Phone (304) 235-2005

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1529452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1669966842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 RED BUD LN STE B215",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643813",
            "telephone_number": "512-521-4736",
            "fax_number": "815-550-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 RED BUD LN STE B215",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786643813",
            "telephone_number": "512-521-4736",
            "fax_number": "815-550-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIZARDO",
        "first_name": "MARIA",
        "middle_name": "L",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-20",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37892",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "023145",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.