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DR. ANDREA XISTO
NPI 1740900208
Psychologist - Clinical in Laurel, MD

Active since September 02, 2022
14415 CANNOCK CHASE, LAUREL, MD 20707(410) 777-5709 Get Directions Write a Review

NPPES record last updated: July 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 16, 2024, Sep 2, 2022 (2 updates tracked since 2022).

About Dr. Andrea Xisto NPPES

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

DR. ANDREA XISTO (NPI 1740900208) is an individual clinical provider in Laurel, Maryland, licensed in Maryland (06670) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1740900208
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ANDREA XISTO
Location Address14415 CANNOCK CHASELaurel, MD 20707-3136
Mailing Address14280 Baltimore Ave # 1175Laurel, MD 20707-5006 · (410) 777-5709
Phone(410) 777-5709
Sole ProprietorYes
Enumeration DateSeptember 2, 2022
Last NPPES UpdateJuly 16, 20242 updates tracked since enumeration
NPPES CertifiedJuly 16, 2024
✔ NPI 1740900208 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 · 06670✔ Licensed in DC · PSY200001339✔ Licensed in VA · 0810007294
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.
14415 CANNOCK CHASE, Laurel, MD 20707
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Other Providers at the Same Location NPPES

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

XISTO PSYCHOLOGY LLC
Psychologist (Clinical)
14415 CANNOCK CHASE
LAUREL, MD 20707
Prince George's County (410) 777-5709

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 Andrea Xisto's NPI number?

The NPI number for Andrea Xisto is 1740900208. It was assigned to this individual provider in the NPPES registry on September 2, 2022.

Where is Andrea Xisto located?

Andrea Xisto practices at 14415 Cannock Chase, Laurel, MD 20707. The listed phone number is (410) 777-5709.

What is Andrea Xisto's specialty?

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

When was this NPI record last updated?

The NPPES record for Andrea Xisto was last updated on July 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.