Alicia Elizabeth Wiprovnick, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

06729 Issued in MD

Practice address

1001 W Pratt St
Baltimore, MD 21223-2679

Phone

(410) 328-2398

NPI assigned

Oct 12, 2021

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

Enrolled in MD

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

Specialty

Clinical Psychologist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University of Maryland Psychiatry Associates PAGroup PAC ID 1052208253, 54 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• University of Maryland Psychiatry Associates, PA

  • Psychiatry Physician
  • Baltimore, MD
  • NPI 1649292699
  Medicare reassignment Care Compare group NPD
• University of Maryland Psychiatry Associates PA

  • Child & Adolescent Psychiatry Physician
  • Baltimore, MD
  • NPI 1992712897
  NPD (past)

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

{
    "created_epoch": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645833600000",
    "number": "1669134102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232679",
            "telephone_number": "410-328-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W PRATT ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212232679",
            "telephone_number": "410-328-2398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIPROVNICK",
        "first_name": "ALICIA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2022-02-26",
        "certification_date": "2022-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Winters, RPT
• Bradford Winters, M.D.
• Harrison David Winters, MD
• Michael Winters
• James Douglas Winthrop, M.D.
• Kim K Wireman, LCSW-C, LCADC
• Ann Elizabeth Wiringa, MPH, CPH, ATC, LAT
• Ashley Nizhoni Wirth
• Jacob Michael Wisbeck, MD
• Wise Medical Staffing, Inc.

• Clinical Psychologist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.