Elpida Hope Michael Nissirios, PSYD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

06351 Issued in MD

Practice address

4416 E West Hwy Ste 201
Bethesda, MD 20814-4572

Phone

(888) 665-8863

NPI assigned

Jun 22, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1851811749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5450 ROYAL MILE BLVD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218012321",
            "telephone_number": "201-873-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4416 E WEST HWY STE 201",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208144572",
            "telephone_number": "888-665-8863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-7232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8401 Greensboro Dr Ste 550",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221025146",
            "country_code": "US",
            "telephone_number": "888-665-8863",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 15th St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222012627",
            "country_code": "US",
            "telephone_number": "888-665-8863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISSIRIOS",
        "first_name": "ELPIDA HOPE",
        "middle_name": "MICHAEL",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-22",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "DE",
            "license": "B1-0001178",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810006435",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "MD",
            "license": "06351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kesinee C. Nimit, M.D.
• Ajus K. Ninan, LCSW, PHD
• Jan Rwendel De Veyra Nirza, RN
• Masayo Nishida
• Alexander Nissen
• Manette Niu, M.D.
• Joshua T Nixon
• Igboanuzuo Ndidi Rosita Njaka, AGPCNP-BC
• Christine Nkobena, PHARMD.
• Noble Matters, LLC

• Clinical Neuropsychologist in Bethesda, MD
• Providers in Bethesda, MD by specialty
• Clinical Neuropsychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.