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DR. LISA MELLISA GREENE HENDERSON PSY.D.
NPI 1497945034
Psychologist - Clinical in Suitland, MD

Active since July 30, 2007PECOS EnrolledAccepts Medicare Assignment
5100 AUTH WAY, KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTER, SUITLAND, MD 20746(301) 702-5000 Get Directions Write a Review

NPPES record last updated: June 2, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Mellisa Greene Henderson Psy.d. NPPES

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

DR. LISA MELLISA GREENE HENDERSON PSY.D. (NPI 1497945034) is an individual clinical provider in Suitland, Maryland, licensed in Maryland (04392) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1497945034
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LISA MELLISA GREENE HENDERSONCredential: PSY.D.
Location Address5100 AUTH WAY, KAISER PERMANENTE MARLOW HEIGHTS MEDICAL CENTERSuitland, MD 20746-4207
Mailing Address2101 E Jefferson St, Kaiser Permanente Medicare EnrollmentRockville, MD 20852-4908 · (301) 816-2424
Phone(301) 702-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 30, 2007
Last NPPES UpdateJune 2, 2021
NPPES CertifiedJune 2, 2021
✔ NPI 1497945034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in MD · 04392✔ Licensed in DC · PSY1000375
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
5100 AUTH WAY, Suitland, MD 20746
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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

Dr. Lisa Mellisa Greene Henderson 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 ID6608050919
PECOS Enrollment IDI20110412000295
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20746 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

DR. ALLISON R REITER M.D.
Obstetrics & Gynecology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5133
ADA UKPAI EMARIEVBE M.D
Obstetrics & Gynecology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5000
DR. GRACE ELAINE MCGIBBON MD
Ophthalmology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5292
PIM SUWANNARAT MD
Medical Genetics (Clinical Genetics (M.D.))
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5250
DR. LESLY ROBERT LAMARQUE M.D.
Obstetrics & Gynecology
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5133
ROZLYN T SEARVANCE PHARMD
Pharmacist (Nuclear)
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5235
MRS. KAREN EVON LATSON RPH
Pharmacist
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5629
AYANNA BEARD MD
Family Medicine
5100 AUTH WAY
SUITLAND, MD 20746
Prince George's County (301) 702-5100

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 Lisa Greene Henderson's NPI number?

The NPI number for Lisa Greene Henderson is 1497945034. It was assigned to this individual provider in the NPPES registry on July 30, 2007.

Where is Lisa Greene Henderson located?

Lisa Greene Henderson practices at 5100 Auth Way Kaiser Permanente Marlow Heights Medical Center, Suitland, MD 20746. The listed phone number is (301) 702-5000.

What is Lisa Greene Henderson's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Lisa Greene Henderson enrolled in Medicare?

Yes. Lisa Greene Henderson 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 Lisa Greene Henderson was last updated on June 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.