DR. ALEKSANDRA LISS (NPI# 1477969434) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477969434 |
| Entity Type | Individual |
| Full Name | DR. ALEKSANDRA LISS |
| Other Name | ALEKSANDRA DOMINSKA |
| Credential | PSY.D., LPA |
| Practice Address |
4012 Park Rd Suite 200 Charlotte NC 28209-2377 |
| Practice Telephone | 7043324834 |
| Practice Fax Number | 7043729653 |
| Mailing Telephone | 7043324834 |
| Mailing Fax Number | 7043729653 |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2014-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
4613 | NC | Behavioral Health & Social Service Providers |
| Street Address |
4012 PARK RD SUITE 200 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28209-2377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437125085 | Child and Family Development | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2378 | 2006-02-24 |
| 1780182139 | Sarah Marie Hamilton | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2018-01-30 |
| 1902318728 | Kathleen Condon | Speech-Language Pathologist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2017-11-02 |
| 1457891335 | Cameron Blake Templeton | Physical Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2017-02-27 |
| 1902356264 | Patricia S Dyer | Counselor | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-10-11 |
| 1093176349 | Ashley Costner Kies | Psychologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2016-03-15 |
| 1063898732 | Logan D Carter | Speech-Language Pathologist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2015-08-05 |
| 1104255033 | Melissa Petcu | Occupational Therapist | 4012 Park Rd, Charlotte, NC 28209-2377 | 2013-11-01 |
| 1669800991 | Meghan Davidson-palmer | Occupational Therapist | 4012 Park Rd, Suite 200, Charlotte, NC 28209-2377 | 2013-10-23 |
| 1245574607 | Jonathan David Stevens | Chiropractor | 4012 Park Rd, Suite 103, Charlotte, NC 28209-2377 | 2012-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194382200 | Christopher Joseph Malara | Occupational Therapy Assistant | 3600 Park Rd, Charlotte, 28209, Nc, Charlotte, NC 28209 | 2019-05-23 |
| 1982187571 | Elizabeth Black Smith | Dietitian, Registered | 5821 Fairview Road, Suite 216, Charlotte, NC 28209 | 2018-09-11 |
| 1235611690 | Shearer Counseling Services Pllc | Counselor | 5200 Park Road Ste 200-3, Charlotte, NC 28209 | 2018-09-02 |
| 1942796396 | Wade Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 4400 Park Rd Unit 315, Charlotte, NC 28209 | 2018-07-09 |
| 1750803672 | Stephanie Rindner | Behavior Technician | 716 Marsh Road, Charlotte, NC 28209 | 2017-07-12 |
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1275943011 | Cameron Cunningham | Anesthesiology | 1515 Mockingbird Ln Ste 680, Charlotte, NC 28209 | 2014-05-02 |
| 1013299205 | Digital Ultrasound Associates | Spec/Tech, Cardiovascular | 4450 South Blvd Suite 4, Charlotte, NC 28209 | 2011-09-13 |
| 1801117676 | Rosemary Nmi Lucas | Physical Therapist | 2910 Selwyn Ave #359, Charlotte, NC 28209 | 2010-06-16 |
| 1194049767 | Frances Massey Harley | Speech-Language Pathologist | 715 Hartford Avenue, Sedgefield Elementary School, Charlotte, NC 28209 | 2010-03-25 |
| Find all providers in zip 28209 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770123531 | Robert B Stroker | Psychologist | 10617 Kettering Dr Ste 213, Charlotte, NC 28226-4900 | 2020-01-09 |
| 1902460744 | Holly Hauser | Psychologist | 1905 J N Pease Pl Ste 104, Charlotte, NC 28262-4509 | 2019-04-26 |
| 1972944759 | Intrusted Care Solutions Inc | Psychologist | 2340 N Graham St Ste B, Charlotte, NC 28206-2506 | 2013-07-09 |
| 1790029791 | David E Mermelstein | Psychologist | 6201 Fairview Road, Ste 200, Charlotte, NC 28210-3297 | 2012-11-15 |
| 1598014011 | Jesse Selkin | Psychologist | 8832 Blakeney Professional Dr Ste 105, Charlotte, NC 28277-6717 | 2012-08-30 |
| 1629324975 | Kevin L Gyoerkoe | Psychologist | 8832 Blakeney Professional Dr, Suite 105, Charlotte, NC 28277-6809 | 2012-07-24 |
| 1235406109 | Redlak Recovery Center, Pllc | Psychologist | 10801 Johnston Rd Ste 217, Charlotte, NC 28226-7856 | 2011-11-21 |
| 1801172051 | Chad Wesley Kraska | Psychologist | 7400 Carmel Executive Park Dr Ste 135, Charlotte, NC 28226-8400 | 2011-11-01 |
| 1679805717 | Rose Marie Leday | Psychologist | 3440 Toringdon Way, Suite #205, Charlotte, NC 28277-3190 | 2010-01-29 |
| 1023241965 | Briana Melissa Webber-lind | Psychologist | 12815 Longstraw Rd, Charlotte, NC 28227-3686 | 2009-08-26 |
| Find all providers in CHARLOTTE | ||||
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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.