NPPES file of Aug 9, 2026

Lisa Sara Polon, PSY.D.

Clinical Psychologist · Santa Rosa, CA

Lisa Sara Polon, PSY.D. is a clinical psychologist with a practice address in Santa Rosa, California, and NPI 1366879967, issued on Sep 27, 2013. Check the license (California PSY29914, as entered in NPPES) with the California board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1366879967
Name
Lisa Sara Polon
Credential
PSY.D.
Primary taxonomy
Clinical Psychologist 103TC0700X
License number
PSY29914 CA
Self-reported in NPPES; status is on the state search
Practice location
3569 Round Barn Cir, Santa Rosa, CA 95403
Phone
(707) 303-3600
Enumerated
Sep 27, 2013
Record last updated
May 29, 2020 (not updated in 6 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20240419001876); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest clinical psychologist records → All 12,647 in California → Look up another NPI →

Also registered at 3569 Round Barn Cir

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Khuzeman Abbasi, MDFamily Medicine Physician1841979952
  2. Allison Bacon, M.D.Family Medicine Physician1720254584
  3. Irene Baluyut, MDPediatrics Physician1629281662
  4. Kalanete Baruch, NPNurse Practitioner1184958696
  5. Amanda Bemis, FNPFamily Nurse Practitioner1225817935
  6. Francesca Cecchini, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner1093636748

Verify Lisa Sara Polon in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich California board licenses this profession
    Search for license PSY29914    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the California license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Providence Medical FoundationSanta Rosa, CA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Lisa Sara Polon among 12,647 clinical psychologist records in California

Lisa Sara Polon, PSY.D. is one of 12,647 clinical psychologist records with a practice address in California. 9% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2013, is newer than 67% of them.

  • NPI issued2013 · 67% of these records are older, 29% newer
  • In a Medicare fileYes · 9% of these records are
  • In the CMS Doctors and Clinicians fileYes · 19% of these records are
  • Graduated1994 · median 2006 among the 2,424 with a school on file
  • Record last updated2020 · 63% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 103TC0700X and a California practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

102 clinical psychologist records list a practice address in Santa Rosa

They are 102 of the 6,884 NPPES records with a practice address in Santa Rosa, and 12,647 clinical psychologist records in California.

All 12,647 in California → Every provider in Santa Rosa → Clinical Psychologist nationwide →

The 8 clinical psychologist records with the nearest ZIP codes

  1. Fatemeh Bani-Taba, PSYDSanta Rosa, CA 954031144413725
  2. Colin Baptie, PSY.D.Santa Rosa, CA 954031902199615
  3. Susan Baron, PSY.D.Santa Rosa, CA 954031124228440
  4. Michael Baugnon, PH.D.Santa Rosa, CA 954031912121401
  5. Morella Bombardini, PSY.D.Santa Rosa, CA 954031437432218
  6. Elisabeth Brittell, PSY.D.Santa Rosa, CA 954031629115357
  7. Todd Disney, PSYDSanta Rosa, CA 954031942353628
  8. Alan DreifussSanta Rosa, CA 954031538221833

Common questions

What is Lisa Sara Polon, PSY.D.'s NPI number?

Lisa Sara Polon, PSY.D.'s National Provider Identifier (NPI) is 1366879967, issued on Sep 27, 2013. An NPI identifies a provider in billing; it is not a license.

Where is Lisa Sara Polon, PSY.D. located?

The NPPES record lists a practice address at 3569 Round Barn Cir, Santa Rosa, CA, 95403. Phone: (707) 303-3600. Providers update this record themselves, so call before visiting.

How can I verify Lisa Sara Polon, PSY.D.'s license?

NPPES lists California license number PSY29914, as entered by the provider. Search the California board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.