Individual provider Active NPI

Alyssa Levisohn, PH.D.

  • Clinical Neuropsychologist
  • Silver Spring, MD
National Provider Identifier
1174930515
Registry record updated Jul 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
04267 Issued in MD
Practice address
714 Kersey Rd
Silver Spring, MD 20902-3061
Phone
(610) 888-9264
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 04267 MD Primary

Addresses

Primary practice location

714 Kersey Rd
Silver Spring, MD 20902-3061

Mailing address

714 Kersey Rd
Silver Spring, MD 20902-3061
Phone (610) 888-9264

Other names 1

  • Lisi Levisohn Other 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
Credentials
Doctor of Philosophy

NPI Registry JSON

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

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405555200000",
    "number": "1174930515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 KERSEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023061",
            "telephone_number": "610-888-9264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 KERSEY RD",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209023061",
            "telephone_number": "610-888-9264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVISOHN",
        "first_name": "ALYSSA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2014-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "04267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISI",
            "last_name": "LEVISOHN",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Silver Spring, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2014; 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.