Lisa Medalie, PSYD, CBSM
NPI 1609175744ActiveIndividual· Clinical Neuropsychologist· Evanston, IL
Clinical Neuropsychologist (PSYD, CBSM) with Drlullaby, LLC, practicing in Evanston, Illinois. Medicare paid $3,581 for services to 14 patients in 2024.
Overview
| NPI | 1609175744 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD, CBSM |
| Sole proprietor | Yes |
| NPI issued | Mar 15, 2011 |
| Last updated in NPPES | Mar 29, 2024 |
| Certified by provider | Jun 9, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 071.008089 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (FL); Practitioner - Clinical Psychologist (IL); Practitioner - Psychologist Billing Independently (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 50 across 5 procedure codes |
| Paid by Medicare | $3,581 |
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical group
- Drlullaby, LLCMiami Shores, FL · 7 clinicians
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