Lisa Marie Moscatiello, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

A0630 Issued in MD

Practice address

6618 Cockerille Ave
Takoma Park, MD 20912-4732

Phone

(202) 256-1764

NPI assigned

Sep 25, 2020

Last updated

Sep 25, 2020By the provider in NPPES

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

Opted out of Medicare

Yes, effective Nov 22, 2021 through Nov 22, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Easter Seals Serving DC MD VA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Silver Spring, MD
  • NPI 1598264574
  NPD (past)

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

{
    "created_epoch": "1600992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1720695588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6618 COCKERILLE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124732",
            "telephone_number": "202-256-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6618 COCKERILLE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124732",
            "telephone_number": "202-256-1764"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8501 Colesville Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Silver Spring",
            "state": "MD",
            "postal_code": "209103322",
            "country_code": "US",
            "telephone_number": "202-341-0500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOSCATIELLO",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-25",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "A0630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Mongwe Chuale
• Princely Monju, HHA
• Montgomery County Maryland Government (Rolling Terrace School Based Health Clinic)
• Montgomery County Maryland Government
• Devora Belle Moore, DPM
• Agathe Eyoum Mouto
• Move Well
• Adeline Mubele
• Acha Victorine Muchock
• Sharadi Mudimbi

• Clinical Psychologist in Takoma Park, MD
• Providers in Takoma Park, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; 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.