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LISA MARIE MOSCATIELLO PSY.D.
NPI 1720695588
Psychologist - Clinical in Takoma Park, MD

Active since September 25, 2020Opted out of Medicare · through Nov 22, 2027
6618 COCKERILLE AVE, TAKOMA PARK, MD 20912(202) 256-1764 Get Directions Write a Review

NPPES record last updated: September 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Lisa Marie Moscatiello Psy.d. NPPES

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

LISA MARIE MOSCATIELLO PSY.D. (NPI 1720695588) is an individual clinical provider in Takoma Park, Maryland, licensed in Maryland (A0630) and active in the NPI registry since September 2020. She has opted out of Medicare through November 22, 2027.

NPPES Registry Identity

NPI1720695588
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameLISA MARIE MOSCATIELLOCredential: PSY.D.
Location Address6618 COCKERILLE AVETakoma Park, MD 20912-4732
Mailing Address6618 Cockerille AveTakoma Park, MD 20912-4732 · (202) 256-1764
Phone(202) 256-1764
Sole ProprietorNo
Enumeration DateSeptember 25, 2020
NPPES CertifiedSeptember 25, 2020
✔ NPI 1720695588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in MD · A0630
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.
6618 COCKERILLE AVE, Takoma Park, MD 20912
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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

Lisa Marie Moscatiello 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 November 22, 2021 through November 22, 2027.

Opt-Out Effective DateNovember 22, 2021
Opt-Out In Effect ThroughNovember 22, 2027Opt-out affidavits renew automatically every two years unless cancelled

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 Moscatiello's NPI number?

The NPI number for Lisa Moscatiello is 1720695588. It was assigned to this individual provider in the NPPES registry on September 25, 2020.

Where is Lisa Moscatiello located?

Lisa Moscatiello practices at 6618 Cockerille Ave, Takoma Park, MD 20912. The listed phone number is (202) 256-1764.

What is Lisa Moscatiello's specialty?

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

Is Lisa Moscatiello enrolled in Medicare?

No. Lisa Moscatiello has opted out of Medicare through November 22, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lisa Moscatiello was last updated on September 25, 2020. 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.