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

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: July 26, 2026.

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

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
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

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.

Occupational Therapist
1441 CLIFTON RD NE
ATLANTA, GA 30322
Physical Medicine & Rehabilitation
1441 CLIFTON RD NE
ATLANTA, GA 30322
Physical Medicine & Rehabilitation
1441 CLIFTON RD NE
ATLANTA, GA 30322
Occupational Therapist
1441 CLIFTON RD NE
ATLANTA, GA 30322
Speech-Language Pathologist
1441 CLIFTON RD NE
ATLANTA, GA 30322
Physical Medicine & Rehabilitation
1441 CLIFTON RD NE
ATLANTA, GA 30322
Occupational Therapist
1441 CLIFTON RD NE
ATLANTA, GA 30322
Clinical Neuropsychologist
1441 CLIFTON RD NE
ATLANTA, GA 30322

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Liselotte De Wit located?

Liselotte De Wit practices at 1441 Clifton Rd NE, Atlanta, GA 30322. The listed phone number is (404) 712-5667.

What is Liselotte De Wit's specialty?

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

Is Liselotte De Wit enrolled in Medicare?

Yes. Liselotte De Wit is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Liselotte De Wit was last updated on March 25, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.