Individual provider Active NPI

Shoshana Rachel Goldman Lewin, PSY.D.

  • Psychologist
  • Baltimore, MD
National Provider Identifier
1932286044
Registry record updated Mar 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Practice address
17 Warren Rd
Suite 3a
Baltimore, MD 21208-5334
Phone
(773) 343-4905
Fax
(443) 450-3409
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X Primary

Addresses

Primary practice location

17 Warren Rd
Suite 3a
Baltimore, MD 21208-5334

Mailing address

17 Warren Rd
Suite 3a
Baltimore, MD 21208-5334
Phone (773) 343-4905

Other names 1

  • Mrs. Shoshana Rachel Lewin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150619000644 VA Practitioner - Clinical Psychologist 8820309669 Reassigns benefits to 2 organizations
I20160125000861 MD Practitioner - Clinical Psychologist 8820309669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

17 Warren Rd
Suite 3a
Baltimore, MD 21208-5001
Phone (773) 343-4905

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meditelecare of Virginia, LLC CurrentSince Mar 1, 2018 Accepting new patients
Shoshana Lewin, Psy.D., LLC CurrentSince Mar 29, 2016 Accepting new patients
Michael S. Weissman, PH.D.,LTD CurrentSince Apr 11, 2015 Accepting new patients
Psychotherapy Resources of Norfolk LTD Past Accepting new patients

Locations

17 Warren Rd
Ste 3A
Pikesville, MD 21208
Phone (410) 591-7724

4242 Medical Dr
Ste 7100
San Antonio, TX 78229
Phone (210) 342-1906

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

836 Glendale Rd
Galax, VA 24333
Phone (276) 236-9991

Organizations & group practices 4

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1932286044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WARREN RD",
            "address_2": "SUITE 3A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085334",
            "telephone_number": "773-343-4905",
            "fax_number": "443-450-3409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 WARREN RD",
            "address_2": "SUITE 3A",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212085334",
            "telephone_number": "773-343-4905",
            "fax_number": "443-450-3409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIN",
        "first_name": "SHOSHANA",
        "middle_name": "RACHEL GOLDMAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHOSHANA",
            "last_name": "LEWIN",
            "middle_name": "RACHEL",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.