Active NPI
Lisa Gail Dehart, M.S., ED.S
- School Psychologist
- Baltimore, MD
National Provider Identifier
1255156311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 300 Pontiac Ave
Baltimore, MD 21225-2042 - Phone
- (443) 836-6400
- Fax
- (301) 253-9417
- NPI assigned
- Nov 22, 2024
- 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 |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
300 Pontiac Ave
Baltimore, MD 21225-2042
Mailing address
1508 William St
Baltimore, MD 21230-4613
Phone (540) 239-2490
Other names 1
- Mrs. Lisa Dehart Austin
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
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1255156311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1508 WILLIAM ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212304613",
"telephone_number": "540-239-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 PONTIAC AVE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212252042",
"telephone_number": "443-836-6400",
"fax_number": "301-253-9417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHART",
"first_name": "LISA",
"middle_name": "GAIL",
"credential": "M.S., ED.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LISA",
"last_name": "AUSTIN",
"middle_name": "DEHART",
"prefix": "MRS.",
"credential": "M.S., ED.S",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.