Individual provider Active NPI

Alison Witmer Thir, PSY.D

  • Clinical Psychologist
  • Prince Frederick, MD
National Provider Identifier
1073846705
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
04728 Issued in MD
Practice address
134 Main St Ste 202
Prince Frederick, MD 20678-6150
Phone
(301) 744-7775
NPI assigned
Sep 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Psychologist 103TC0700X 04728 MD Primary

Addresses

Primary practice location

134 Main St Ste 202
Prince Frederick, MD 20678-6150

Mailing address

3120 Mayberry Ave
Huntingtown, MD 20639-3910
Phone (703) 568-0900

Other practice location 1

3120 Mayberry Ave
Huntingtown, MD 20639-3910
Phone (703) 568-0900

Other identifiers 1

IdentifierTypeStateIssuer
589561802MedicaidMD

Other names 1

  • Alison Witmer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04728MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hope and Healing Psychotherapy, LLC Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1073846705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 MAYBERRY AVE",
            "city": "HUNTINGTOWN",
            "state": "MD",
            "postal_code": "206393910",
            "telephone_number": "703-568-0900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 MAIN ST STE 202",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206786150",
            "telephone_number": "301-744-7775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3120 Mayberry Ave",
            "address_purpose": "LOCATION",
            "city": "Huntingtown",
            "state": "MD",
            "postal_code": "206393910",
            "country_code": "US",
            "telephone_number": "703-568-0900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIR",
        "first_name": "ALISON",
        "middle_name": "WITMER",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "589561802",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "WITMER",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Prince Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.