Lise Becker Vezina, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

PSY1000023 Issued in DC

Practice address

7910 Woodmont Ave Ste 745
Bethesda, MD 20814-3002

Phone

(202) 841-1864

NPI assigned

Oct 3, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Chesapeake Psychological Services

  • Psychologist
  • Bethesda, MD
  • NPI 1063809549
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1013001304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 LELAND ST",
            "city": "CHEVY CHASE",
            "state": "MD",
            "postal_code": "208154903",
            "telephone_number": "240-479-9275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7910 WOODMONT AVE STE 745",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208143002",
            "telephone_number": "202-841-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER VEZINA",
        "first_name": "LISE",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "DC",
            "license": "PSY1000023",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "03936",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Marie Beavers, MA, CCC-SLP
• Allison Ann Beck, PA-C
• Jared Cameron Beck, D.M.D.
• Justine Beck, PHARMD
• Young J Beck, PHARMACIST
• Melanie Becker, MSW
• Stephanie Becker
• Charmagne Goodman Beckett, M.D.
• Nashida N Beckett, M.D.
• Gina Maria Beech, D.C.

• Cognitive & Behavioral Psychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Cognitive & Behavioral Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.