MITCHELL C. LISS, PSY.D., LLC (NPI# 1124512785) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124512785 |
| Entity Type | Organization |
| Organization Name | MITCHELL C. LISS, PSY.D., LLC |
| Practice Address |
1101 Kings Hwy N Ste 313 Cherry Hill NJ 08034 |
| Mailing Address |
1101 Kings Hwy N Ste 313 Cherry Hill NJ 08034-1912 |
| Practice Telephone | 2158698195 |
| Mailing Telephone | 2158698195 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | MITCHELL CRAIG LISS (PSYCHOLOGIST) |
| Authorized Official Telephone | 2158698195 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPI | 1235592320 | 01 |
| Street Address |
1101 KINGS HWY N STE 313 |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942640487 | Carolyn Faust Piro | Social Worker | 1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034-1912 | 2013-06-28 |
| 1235592320 | Mitchell Liss | Psychologist | 1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034-1912 | 2016-04-05 |
| 1811370661 | Family Transformations LLC | Community/Behavioral Health | 1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034-1912 | 2015-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427588946 | Joy Cohen | Psychologist | 1916 Route 70 E, Cherry Hill, NJ 08003-2139 | 2017-06-18 |
| 1952736431 | Elizabeth Anne Gravallese | Psychologist | 325 Marlton Pike E, Cherry Hill, NJ 08034 | 2013-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548879984 | Pm Vietze Phd LLC | Psychologist | 957 Cedarbrook Road, Plainfield, NJ 07060-2646 | 2020-07-30 |
| 1275159642 | Family Home Care Services LLC | Psychologist | 7 Glenwood Ave Ste 419c, East Orange, NJ 07017-1065 | 2020-06-22 |
| 1326675034 | Jennifer Yedlin | Psychologist | 540 Queen Anne Rd, Teaneck, NJ 07666-3329 | 2020-03-24 |
| 1558835876 | Jacqueline D Freedman | Psychologist | 748 Morris Tpke Ste 207, Short Hills, NJ 07078-2617 | 2019-01-21 |
| 1669942777 | Psychological & Educational Consulting | Psychologist | 513 W Mount Pleasant Ave Ste 212, Livingston, NJ 07039-1721 | 2018-12-01 |
| 1467949735 | Courtney Anderson, Psyd, LLC | Psychologist | 256 Read St, Lakewood, NJ 08701-5327 | 2018-04-22 |
| 1790282192 | Stefan C. Dombrowski, Ph.d. & Associates, LLC | Psychologist | 4 Eves Dr, Marlton, NJ 08053-3195 | 2018-04-11 |
| 1104338813 | Suzi Millar | Psychologist | 50 Boulevard of Eagles, Edison, NJ 08817-4002 | 2017-11-03 |
| 1750893954 | Tishanna D Majette Phd Corporation | Psychologist | 3000 Atrium Way Ste 200, Mount Laurel, NJ 08054 | 2017-10-27 |
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.