ALISA B BAHL PHD
NPI 1578814653
Psychologist - Clinical in Charlottesville, VA

Q: What is Alisa Bahl's NPI number?

The NPI number for Alisa Bahl is 1578814653. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Q: What is Alisa Bahl's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alisa Bahl was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 September 28, 2012PECOS Enrolled

1204 W MAIN ST, CHARLOTTESVILLE, VA 22903(434) 924-0123(434) 243-3300 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2026, Jun 13, 2025, Aug 8, 2023 and 2 more (5 updates tracked since 2019).

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About Alisa B Bahl Phd NPPES

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

ALISA B BAHL PHD (NPI 1578814653) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810004296) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlottesville.

NPPES Registry Identity

NPI1578814653

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameALISA B BAHLCredential: PHD

Location Address1204 W MAIN STCharlottesville, VA 22903-2824

Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000

Phone(434) 924-0123

Fax(434) 243-3300

Sole ProprietorNo

Enumeration DateSeptember 28, 2012

Last NPPES UpdateMarch 24, 20265 updates tracked since enumeration

NPPES CertifiedMarch 24, 2026

✔ NPI 1578814653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810004296

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.

Also ListedPediatrics · Developmental - Behavioral PediatricsTaxonomy 2080P0006X · License 0810004296 (VA)

1204 W MAIN ST, Charlottesville, VA 22903

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Secondary Practice Location 1

Location 11215 Lee StCharlottesville, VA 22908-2824 · Phone (434) 924-0211

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alisa B Bahl Phd 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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