Lizabeth Ann Potter, MD

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

MD420631 Issued in PA

Practice address

5351 Jaycee Ave # C
Suite 1
Harrisburg, PA 17112-2938

Phone

(717) 657-2080

Fax

(717) 657-2290

NPI assigned

Sep 26, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Teamcare Behavioral Health, LLCGroup PAC ID 4183888324, 3 clinicians

Truenorth Wellness ServicesGroup PAC ID 6709869456, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1912013509
  Medicare reassignment Care Compare group NPD
• Teamcare Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lancaster, PA
  • NPI 1043408818
  Medicare reassignment Care Compare group
• Truenorth Wellness Services

  • Community/Behavioral Health Agency
  • Hanover, PA
  • NPI 1356937064
  NPD (past)
• Wholesome Harmonies, LLC

  • Music Therapist
  • Hanover, PA
  • NPI 1316717788
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1912008285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W ELM AVE",
            "city": "HANOVER",
            "state": "PA",
            "postal_code": "173315125",
            "telephone_number": "717-632-4900",
            "fax_number": "717-632-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5351 JAYCEE AVE # C",
            "address_2": "SUITE 1",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171122938",
            "telephone_number": "717-657-2080",
            "fax_number": "717-657-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POTTER",
        "first_name": "LIZABETH",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD420631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1012207630003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rafael Jorge Portilla, M.A.
• Ilana Portman
• Crystal Porto
• Posey'S Home Healthcare Agency
• Courtney Alexis Potteiger, DO
• Barry Gilmour Powderly, D.C.
• John David Powell Jr., MD
• Lindsay Nicole Powell
• Matthew Powery, LPC
• Andrea Prats, D.O.

• Child & Adolescent Psychiatry Physician in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• Child & Adolescent Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; 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.