Lisa Polon, PSY.D.
NPI 1366879967 · Clinical Psychologist · Santa Rosa, CA
Enrolled with Medicare as Practitioner - Clinical Psychologist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lisa Polon, PSY.D. is a Clinical Psychologist provider in Santa Rosa, CA (NPI 1366879967).
Provider details
- NPI number
- 1366879967
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PSY29914 (CA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-09-27
- Last updated
- 2020-05-29
- Certified
- 2020-05-29
Frequently asked questions
- What is Lisa Polon's NPI number?
- Lisa Polon's National Provider Identifier (NPI) is 1366879967, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Polon's specialty?
- Lisa Polon is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Lisa Polon located?
- Lisa Polon's practice location on file with NPPES is 3569 Round Barn Cir, Santa Rosa, CA 95403-5781.
- What is Lisa Polon's phone number?
- The practice phone number listed in the NPPES registry for Lisa Polon is (707) 303-3600.
- Does Lisa Polon accept Medicare?
- Lisa Polon is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Lisa Polon's NPI active?
- Yes — Lisa Polon's NPI (1366879967) is active in the NPPES registry as of the last update on 2020-05-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.