Lisa N Backus, PHD is a
Psychologist - Clinical based in Branford, Connecticut. Lisa N Backus is licensed to practice in Colorado (license number PSY 4079) and her current practice location is
21 Business Park Dr, Branford, Connecticut. She can be reached at her office (for appointments etc.) via phone at
(203) 488-0471.
NPI number for Lisa N Backus is 1558679555 and her current mailing address is 251 Westbrook Rd, Essex, Connecticut. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558679555.
Healthcare Provider's Profile
Full Name | Lisa N Backus |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 21 Business Park Dr, Branford, Connecticut |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558679555
- Provider Enumeration Date: 09/24/2010
- Last Update Date: 09/30/2024
Medical Identifiers
Medical identifiers for Lisa N Backus such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558679555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | PSY 4079 (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lisa N Backus is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Lisa N Backus, PHD 251 Westbrook Rd, Essex, CT 06426-1528 Ph: (860) 767-1277 | Lisa N Backus, PHD 21 Business Park Dr, Branford, CT 06405-2935 Ph: (203) 488-0471 |
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