MITCHELL C. LISS, PSY.D., LLC
NPI 1124512785
Psychologist - Clinical Child & Adolescent in Cherry Hill, NJ

Q: What is Mitchell C. Liss, Psy.D., LLC's NPI number?

The NPI number for Mitchell C. Liss, Psy.D., LLC is 1124512785. It was assigned to this organization in the NPPES registry on June 18, 2018.

Q: What is Mitchell C. Liss, Psy.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Active since June 18, 2018

1101 KINGS HWY N STE 313, CHERRY HILL, NJ 08034(215) 869-8195 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 10, 2024, Jun 18, 2018 (2 updates tracked since 2018).

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About Mitchell C. Liss, Psy.d., Llc NPPES

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

MITCHELL C. LISS, PSY.D., LLC (NPI 1124512785) is a healthcare organization registered as a clinical child & adolescent in Cherry Hill, New Jersey and active in the NPI registry since June 2018. The organization lists Mitchell Craig Liss, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1124512785

Entity TypeOrganization

Primary Taxonomy103TC2200X

Legal Business NameMITCHELL C. LISS, PSY.D., LLC

Location Address1101 KINGS HWY N STE 313Cherry Hill, NJ 08034

Mailing Address1101 Kings Hwy N Ste 313Cherry Hill, NJ 08034-1912 · (215) 869-8195

Phone(215) 869-8195

Organization SubpartNo

Authorized OfficialMitchell Craig LissPsychologist · (215) 869-8195

Enumeration DateJune 18, 2018

Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1124512785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1101 KINGS HWY N STE 313, Cherry Hill, NJ 08034

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Other Identifiers 1

Other1235592320NJ · Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mitchell C. Liss, Psy.d., Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mitchell C. Liss, Psy.D., LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mitchell Liss, PSY.D.

Clinical Psychologist

NPI 1235592320

1101 KINGS HWY N STE 313
Cherry Hill, NJ 08034

(215) 869-8195

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mitchell C. Liss, Psy.D., LLC's NPI number?

The NPI number for Mitchell C. Liss, Psy.D., LLC is 1124512785. It was assigned to this organization in the NPPES registry on June 18, 2018.

Where is Mitchell C. Liss, Psy.D., LLC located?

Mitchell C. Liss, Psy.D., LLC is located at 1101 Kings Hwy N Ste 313, Cherry Hill, NJ 08034. The listed phone number is (215) 869-8195.

What is Mitchell C. Liss, Psy.D., LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Mitchell C. Liss, Psy.D., LLC enrolled in Medicare?

Yes. Mitchell C. Liss, Psy.D., LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mitchell C. Liss, Psy.D., LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mitchell C. Liss, Psy.D., LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mitchell C. Liss, Psy.D., LLC was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.