Mitchell C. Liss, Psy.D., LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

MITCHELL C. LISS, PSY.D., LLC

Practice address

1101 Kings Hwy N Ste 313
Cherry Hill, NJ 08034

Phone

(215) 869-8195

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Mitchell Craig Liss, PSY.D.NPI 1235592320

Title

Psychologist

Phone

(215) 869-8195

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mitchell Liss, PSY.D.

  • Clinical Child & Adolescent Psychologist
  • Cherry Hill, NJ
  • NPI 1235592320
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1124512785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N STE 313",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341912",
            "telephone_number": "215-869-8195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 KINGS HWY N STE 313",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08034",
            "telephone_number": "215-869-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL C. LISS, PSY.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "LISS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "CRAIG",
        "authorized_official_title_or_position": "PSYCHOLOGIST",
        "authorized_official_telephone_number": "215-869-8195",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1235592320",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deann Mishler, LCSW
• Dolly Mishra, D.O.
• Anne Kathryn Misiura, MD
• Nathaniel Missonellie, LCSW
• Mitchell Brudno DMD LLC
• Dorothy Mitchell
• Marcus Mitchell
• Matthew S Mitchell, OTR/L
• Megan Mitchell, PT
• Regina Mitchell

• Clinical Child & Adolescent Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Child & Adolescent Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.