Lisa Simone Hovermale, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

D0048259 Issued in MD

Practice address

55 Wade Ave
SGHC Dix Building Mha-HQ
Catonsville, MD 21228-4663

Phone

(410) 402-8461

Fax

(410) 402-8301

NPI assigned

Jan 2, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366509358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 WILMARY LN",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212101231",
            "telephone_number": "410-433-7398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WADE AVE",
            "address_2": "SGHC DIX BUILDING MHA-HQ",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284663",
            "telephone_number": "410-402-8461",
            "fax_number": "410-402-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOVERMALE",
        "first_name": "LISA",
        "middle_name": "SIMONE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0048259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Hopp, DPT
• Hopyn, LLC
• Angela Horman, R.N., I.B.C.L.C.
• Norman Horn, MS NCC LCPC
• Chelsey Horton, LMSW
• Tyler James Howard, LGPC
• Xinwen Huang, LGPC
• Sue-Lynn Hubbard, D.D.S.
• Natalie C Hung, PHD
• Kathryn G Hunt, LCSW-C

• Psychiatry Physician in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Psychiatry Physician in Maryland

• 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.

Verify at the official NPI Registry.