Individual provider Active NPI

Katherine Anne Lawliss, PSYD

  • Psychologist
  • Plattsburgh, NY
National Provider Identifier
1356012223
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
06890 Issued in MD
Practice address
77 Consumer SQ # 1086
Plattsburgh, NY 12901-6532
Phone
(610) 947-0922
NPI assigned
Sep 21, 2021
Last updated
May 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 026158-01 NY
Psychologist 103T00000X 06890 MD Primary

Addresses

Primary practice location

77 Consumer SQ # 1086
Plattsburgh, NY 12901-6532

Mailing address

95 Corlear Bay Rd
Keeseville, NY 12944-2340
Phone (518) 578-2035

Other practice location 1

9707 Key West Ave Ste 100
Rockville, MD 20850-3992
Phone (240) 750-6467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230925003616 DC Practitioner - Clinical Psychologist 9133573140 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
026158-01NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince Aug 12, 2023 Accepting new patients
Oasis the Mental Health Center, LLC CurrentSince Jul 1, 2025 Accepting new patients
Privia Medical Group, LLC CurrentSince Aug 12, 2023 Accepting new patients
Greater Baltimore Counseling Center, LLC Clinical PastSince Feb 1, 1996 Accepting new patients
Oasis the Mental Health Center, LLC Clinical Past Accepting new patients
Quince Orchard Psychotherapy LLC Past Accepting new patients

Locations

175 Admiral Cochrane Dr
Ste 101B
Annapolis, MD 21401
Phone 41076090790

175 Admiral Cochrane Dr
Ste 110
Annapolis, MD 21401
Phone (410) 571-0888

1212 E Churchville Rd
Ste 200
Bel Air, MD 21014
Phone (410) 428-0018

111 Warren Rd
Ste 3A
Cockeysville, MD 21030
Phone (443) 406-6546

10 N Jefferson St
Ste 202
Frederick, MD 21701
Phone (240) 750-6468

30 Greenway St NW
Ste 5
Glen Burnie, MD 21061
Phone 41076090790

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

9608 Belair Rd
Nottingham, MD 21236
Phone (443) 595-7627

1363 Becknel Ave
Odenton, MD 21113
Phone (240) 381-7900

1850 York Rd
Ste K
Timonium, MD 21093
Phone (410) 410-7609

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1356012223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 CORLEAR BAY RD",
            "city": "KEESEVILLE",
            "state": "NY",
            "postal_code": "129442340",
            "telephone_number": "518-578-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 CONSUMER SQ # 1086",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016532",
            "telephone_number": "610-947-0922"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9707 Key West Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "MD",
            "postal_code": "208503992",
            "country_code": "US",
            "telephone_number": "240-750-6467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWLISS",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-21",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NY",
            "license": "026158-01",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "06890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.