Active NPI
Maria Lippart, PSYD
- Clinical Neuropsychologist
- Rockwall, TX
National Provider Identifier
1891510509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 39666
- Practice address
- 1101 Ridge Rd Ste 230
Rockwall, TX 75087-4286 - Phone
- (469) 863-9094
- NPI assigned
- Nov 18, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | 39666 | TX | Primary |
Addresses
Primary practice location
1101 Ridge Rd Ste 230
Rockwall, TX 75087-4286
Mailing address
1101 Ridge Rd Ste 230
Rockwall, TX 75087-4286
Phone (469) 863-9094
Other practice location 1
611 S Highway 78 Ste 122
Wylie, TX 75098-4111
Phone (972) 442-0606
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250626003010 | TX | Practitioner - Psychologist Billing Independently | 1759893431 | Practice locations: Wylie, TX |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767312000000",
"number": "1891510509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 RIDGE RD STE 230",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874286",
"telephone_number": "469-863-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 RIDGE RD STE 230",
"city": "ROCKWALL",
"state": "TX",
"postal_code": "750874286",
"telephone_number": "469-863-9094"
}
],
"practiceLocations": [
{
"address_1": "611 S Highway 78 Ste 122",
"address_purpose": "LOCATION",
"city": "Wylie",
"state": "TX",
"postal_code": "750984111",
"country_code": "US",
"telephone_number": "972-442-0606",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIPPART",
"first_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-18",
"last_updated": "2026-01-02",
"certification_date": "2026-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "TX",
"license": "39666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rockwall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.