DR. MITCHELL LISS PSY.D.
NPI 1235592320
Psychologist - Clinical Child & Adolescent in Cherry Hill, NJ

Q: What is Mitchell Liss's NPI number?

The NPI number for Mitchell Liss is 1235592320. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Q: What is Mitchell Liss's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mitchell Liss 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.

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment

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 18, 2026.

Record update history: Dec 10, 2024, Sep 18, 2019 (2 updates tracked since 2019).

On this page

About Dr. Mitchell Liss Psy.d. NPPES

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

DR. MITCHELL LISS PSY.D. (NPI 1235592320) is an individual clinical child & adolescent provider in Cherry Hill, New Jersey, licensed in New Jersey (35SI00511900) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235592320

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. MITCHELL LISSCredential: PSY.D.

Location Address1101 KINGS HWY N STE 313Cherry Hill, NJ 08034-1912

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

Phone(215) 869-8195

Sole ProprietorYes

Medical School CMSOtherGraduated 2008

Enumeration DateApril 5, 2016

Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration

NPPES CertifiedDecember 10, 2024

✔ NPI 1235592320 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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

Taxonomy Code103TC2200X

Licenses✔ Licensed in NJ · 35SI00511900✔ Licensed in PA · PS017309

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.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 35SI00511900 (NJ), PS017309 (PA)

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

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Mitchell Liss Psy.d. 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 ID5294066791

PECOS Enrollment IDI20191126000790

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.

Medicare Billing Reassignment

Medicare enrollment records show Mitchell Liss reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mitchell C. Liss, Psy.D., LLC

Same address

Clinical Child & Adolescent

1101 KINGS HWY N STE 313
Cherry Hill, NJ 08034

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Mitchell C Liss Psyd LLC

NPI 1124512785 (215) 869-8195

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

Other Providers at the Same Location NPPES 3

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

MITCHELL C. LISS, PSY.D., LLC

Psychologist (Clinical Child & Adolescent)

1101 KINGS HWY N STE 313
CHERRY HILL, NJ 08034

Camden County (215) 869-8195

CELESTINA STE. CLAIRE M.A., ED.D.

Counselor (Professional)

1101 KINGS HWY N STE 313
CHERRY HILL, NJ 08034

Camden County (856) 617-9333

FAMILY TRANSFORMATIONS LLC

Community/Behavioral Health

1101 KINGS HWY N STE 313
CHERRY HILL, NJ 08034

Camden County (201) 776-5698

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 Liss's NPI number?

The NPI number for Mitchell Liss is 1235592320. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Mitchell Liss located?

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

What is Mitchell Liss's specialty?

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

Is Mitchell Liss enrolled in Medicare?

Yes. Mitchell Liss 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.

Which organization bills Medicare for Mitchell Liss's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Liss reassigns Medicare benefits to Mitchell C. Liss, Psy.D., LLC (Cherry Hill, NJ). The 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 Mitchell Liss's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitchell Liss accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Mitchell Liss as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mitchell Liss 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.