LISELOTTE DE WIT PHD
NPI 1073356598
Clinical Neuropsychologist in Atlanta, GA

Q: What is Liselotte De Wit's NPI number?

The NPI number for Liselotte De Wit is 1073356598. It was assigned to this individual provider in the NPPES registry on June 13, 2024.

Q: What is Liselotte De Wit's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Q: When was this NPI record last updated?

The NPPES record for Liselotte De Wit was last updated on March 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 13, 2024PECOS EnrolledAccepts Medicare Assignment

1441 CLIFTON RD NE, ATLANTA, GA 30322(404) 712-5667 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 25, 2025, Jun 13, 2024 (2 updates tracked since 2024).

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About Liselotte De Wit Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LISELOTTE DE WIT PHD (NPI 1073356598) is an individual clinical neuropsychologist in Atlanta, Georgia, licensed in Georgia (PSY004717) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1073356598

Entity TypeIndividualFemale

Primary Taxonomy103G00000X

Provider Legal NameLISELOTTE DE WITCredential: PHD

Location Address1441 CLIFTON RD NEAtlanta, GA 30322-1004

Mailing Address1135 Arlington Pkwy NeAtlanta, GA 30324-4506 · (786) 338-0735

Phone(404) 712-5667

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJune 13, 2024

Last NPPES UpdateMarch 25, 20252 updates tracked since enumeration

NPPES CertifiedMarch 25, 2025

✔ NPI 1073356598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers

Taxonomy Code103G00000X

License✔ Licensed in GA · PSY004717

Definition

A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

1441 CLIFTON RD NE, Atlanta, GA 30322

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Liselotte De Wit Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971034570

PECOS Enrollment IDI20241007003802

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHARON L HSIEH MD, MPH

Physical Medicine & Rehabilitation