Active NPI
Lisa Abbey Horowitz, PH.D.
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1235289349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002885
- Practice address
- 3959 Pender Dr Ste 320
Fairfax, VA 22030-6041 - Phone
- (703) 352-3822
- Fax
- (703) 385-5383
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002885 | VA | Primary |
Addresses
Primary practice location
3959 Pender Dr Ste 320
Fairfax, VA 22030-6041
Mailing address
6509 Wiscasset Rd
Bethesda, MD 20816-2112
Phone (301) 320-4549
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002885 | VA | MD | Clinical Psychologist |
| 018960 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Child & Family Counseling Group | Clinical | Past | Accepting new patients |
| Diagnostics, LLP | Past | Accepting new patients |
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/95bfb368-cccf-467f-b483-6c8f83ef71d6/
Organizations & group practices 2
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.
-
- Psychologist
- Hartsdale, NY
- NPI 1891956413
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235289349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6509 WISCASSET RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208162112",
"telephone_number": "301-320-4549",
"fax_number": "703-385-8353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 PENDER DR STE 320",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220306041",
"telephone_number": "703-352-3822",
"fax_number": "703-385-5383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOROWITZ",
"first_name": "LISA",
"middle_name": "ABBEY",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.