Lisa Marshall

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810002635 Issued in VA

Practice address

300 Claremont LN Ste 103
Crozet, VA 22932-3455

Phone

(434) 466-1588

Fax

(866) 289-5249

NPI assigned

Mar 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 11, 2025 through Feb 11, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Aligned Clinical & Educational Services

  • Child & Adolescent Psychiatry Physician
  • Crozet, VA
  • NPI 1427471135
  NPD

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1285759142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 GRAFTON LANE",
            "city": "BERRYVILLE",
            "state": "VA",
            "postal_code": "22611",
            "telephone_number": "540-542-0200",
            "fax_number": "540-542-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLAREMONT LN STE 103",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323455",
            "telephone_number": "434-466-1588",
            "fax_number": "866-289-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 grafton lane",
            "address_purpose": "LOCATION",
            "city": "Berryville",
            "state": "VA",
            "postal_code": "22611",
            "country_code": "US",
            "telephone_number": "540-542-0200 x6404",
            "fax_number": "540-542-0218",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8100 Three Chopt Rd Rm 127",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232294800",
            "country_code": "US",
            "telephone_number": "434-466-1588",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 Four Leaf Ln Ste 12",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229039203",
            "country_code": "US",
            "telephone_number": "434-466-1588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "0810002635",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa M Locke-Downer, PHD
• Emily Lynn Loeb, MA
• David Luedeka, RPT
• Cara Marie Macdonald, PT
• Erin D Marley, NP
• Anthony Martinez, M.D.
• Gladys Mauldin
• Jenna Michelle McCaffrey
• John McCord
• Milestones on the Go, LLC

• All providers in Crozet, VA
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.