ALIISA BREISCH PSY.D.
NPI 1518335330
Psychologist in Mountlake Terrace, WA

Active since September 10, 2015PECOS Enrolled
21907 64TH AVE W, SUITE 200, MOUNTLAKE TERRACE, WA 98043(425) 640-7009 Get Directions Write a Review

NPPES record last updated: September 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Aliisa Breisch Psy.d. NPPES

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

ALIISA BREISCH PSY.D. (NPI 1518335330) is an individual psychologist in Mountlake Terrace, Washington, licensed in Washington (PY60543485) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1518335330
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameALIISA BREISCHCredential: PSY.D.
Location Address21907 64TH AVE W, SUITE 200Mountlake Terrace, WA 98043-2200
Mailing Address15229 50th Ave WEdmonds, WA 98026-4412
Sole ProprietorYes
Enumeration DateSeptember 10, 2015
NPI 1518335330 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in WA · PY60543485
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
21907 64TH AVE W, Mountlake Terrace, WA 98043

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Aliisa Breisch Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 17

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

Psychologist
21907 64TH AVE W, SUITE 200
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
21907 64TH AVE W
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
21907 64TH AVE W
MOUNTLAKE TERRACE, WA 98043
Massage Therapist
21907 64TH AVE W, #110
MOUNTLAKE TERRACE, WA 98043
Counselor (Mental Health)
21907 64TH AVE W, SUITE 240
MOUNTLAKE TERRACE, WA 98043
Psychologist (Clinical)
21907 64TH AVE W, SUITE 220
MOUNTLAKE TERRACE, WA 98043
Counselor
21907 64TH AVE W, STE 240
MOUNTLAKE TERRACE, WA 98043
Physical Therapy Assistant
21907 64TH AVE W, SUITE #110
MOUNTLAKE TERRACE, WA 98043

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 Aliisa Breisch's NPI number?

The NPI number for Aliisa Breisch is 1518335330. It was assigned to this individual provider in the NPPES registry on September 10, 2015.

Where is Aliisa Breisch located?

Aliisa Breisch practices at 21907 64th Ave W Suite 200, Mountlake Terrace, WA 98043. The listed phone number is (425) 640-7009.

What is Aliisa Breisch's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Aliisa Breisch enrolled in Medicare?

Yes. Aliisa Breisch is registered in the Medicare PECOS enrollment system.

What insurance does Aliisa Breisch accept?

Health plans from PacificSource Health Plans and Premera Blue Cross Blue Shield of Alaska list Aliisa Breisch 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 Aliisa Breisch was last updated on September 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.