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DR. LISA HELAINE LEVINE PSY.D.
NPI 1710192992
Psychologist - Cognitive & Behavioral in Sandy Spring, MD

Active since May 11, 2007Opted out of Medicare · through Apr 13, 2027
16806 EXCALIBER WAY, SANDY SPRING, MD 20860(301) 641-3396 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Lisa Helaine Levine Psy.d. NPPES

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

DR. LISA HELAINE LEVINE PSY.D. (NPI 1710192992) is an individual cognitive & behavioral provider in Sandy Spring, Maryland, licensed in Maryland (04042) and active in the NPI registry since May 2007. She has opted out of Medicare through April 13, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1710192992
Entity TypeIndividualFemale
Primary Taxonomy103TB0200X
Provider Legal NameDR. LISA HELAINE LEVINECredential: PSY.D.
Location Address16806 EXCALIBER WAYSandy Spring, MD 20860-1118
Mailing Address16806 Excaliber WaySandy Spring, MD 20860-1118 · (301) 641-3396
Phone(301) 641-3396
Sole ProprietorNo
Enumeration DateMay 11, 2007
Last NPPES UpdateJune 3, 2026
NPPES CertifiedJune 3, 2026
✔ NPI 1710192992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Cognitive & BehavioralBehavioral Health & Social Service Providers
Taxonomy Code103TB0200X
License✔ Licensed in MD · 04042
Definition
A psychologist who reflects an experimental-clinical approach distinguished by use of principles of human learning and development and theories of cognitive processing to promote meaningful change in maladaptive human behavior and thinking.
16806 EXCALIBER WAY, Sandy Spring, MD 20860
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lisa Helaine Levine Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 13, 2013 through April 13, 2027.

Opt-Out Effective DateApril 13, 2013
Opt-Out In Effect ThroughApril 13, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Levine's NPI number?

The NPI number for Lisa Levine is 1710192992. It was assigned to this individual provider in the NPPES registry on May 11, 2007.

Where is Lisa Levine located?

Lisa Levine practices at 16806 Excaliber Way, Sandy Spring, MD 20860. The listed phone number is (301) 641-3396.

What is Lisa Levine's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Cognitive & Behavioral, with taxonomy code 103TB0200X.

Is Lisa Levine enrolled in Medicare?

No. Lisa Levine has opted out of Medicare through April 13, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lisa Levine was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.