Individual provider Active NPI

Alysia Maria Sierra, PSY.D

  • Clinical Psychologist
  • Arnold, MD
National Provider Identifier
1720458946
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
05597 Issued in MD
Practice address
1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone
(410) 919-4904
NPI assigned
Sep 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 05597 MD Primary

Addresses

Primary practice location

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815

Mailing address

1298 Bay Dale Dr Ste 211
Arnold, MD 21012-2815
Phone (410) 353-3144

Other names 1

  • Alysia Maria Griffin Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160628002335 MD Practitioner - Clinical Psychologist 8729379326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1298 Bay Dale Dr
Suite 211
Arnold, MD 21012-2815
Phone 41091949044

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05597MDMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fusion Psychological and Consulting Services, LLC Clinical CurrentSince Jul 9, 2017 Accepting new patients

Locations

1298 Bay Dale Dr
Ste 211
Arnold, MD 21012
Phone (410) 260-0160

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1720458946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-353-3144",
            "fax_number": "443-782-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1298 BAY DALE DR STE 211",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "210122815",
            "telephone_number": "410-919-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERRA",
        "first_name": "ALYSIA",
        "middle_name": "MARIA",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-30",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "05597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSIA",
            "last_name": "GRIFFIN",
            "middle_name": "MARIA",
            "credential": "PSY.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arnold, MD

Sources for this page

Verify at the official NPI Registry.