DR. ANDREA MARTINA CHISOLM PH.D.
NPI 1801140199
Psychologist in Silver Spring, MD

Active since November 08, 2012Opted out of Medicare · through Oct 1, 2026
11161 NEW HAMPSHIRE AVE STE 307, SILVER SPRING, MD 20904(301) 593-6554 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Jun 25, 2017 (3 updates tracked since 2017).

About Dr. Andrea Martina Chisolm Ph.d. NPPES

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

DR. ANDREA MARTINA CHISOLM PH.D. (NPI 1801140199) is an individual psychologist in Silver Spring, Maryland and active in the NPI registry since November 2012. She has opted out of Medicare through October 1, 2026 and remains eligible to order and refer and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1801140199
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ANDREA MARTINA CHISOLMCredential: PH.D.
Location Address11161 NEW HAMPSHIRE AVE STE 307Silver Spring, MD 20904-2606
Mailing Address4094 Campus Drive Department Of PsychologyCollege Park, MD 20742-0001 · (301) 405-5860
Sole ProprietorNo
Enumeration DateNovember 8, 2012
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPI 1801140199 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.
11161 NEW HAMPSHIRE AVE STE 307, Silver Spring, MD 20904

Secondary Practice Locations 2

Location 1801 W Girard AvePhiladelphia, PA 19122-4212 · Phone (304) 685-6403
Location 24094 Campus Drive Department Of PsychologyCollege Park, MD 20742-4212 · Phone (301) 405-5860

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. Andrea Martina Chisolm Ph.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 October 1, 2018 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2018
Opt-Out In Effect ThroughOctober 1, 2026Opt-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 Andrea Chisolm's NPI number?

The NPI number for Andrea Chisolm is 1801140199. It was assigned to this individual provider in the NPPES registry on November 8, 2012.

Where is Andrea Chisolm located?

Andrea Chisolm practices at 11161 New Hampshire Ave Ste 307, Silver Spring, MD 20904. The listed phone number is (301) 593-6554.

What is Andrea Chisolm's specialty?

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

Is Andrea Chisolm enrolled in Medicare?

No. Andrea Chisolm has opted out of Medicare through October 1, 2026. 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 Andrea Chisolm was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.