Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARISSA J LAVINSKY
NPI 1912711748
Psychologist - Clinical in Philadelphia, PA

Q: What is Marissa Lavinsky's NPI number?

The NPI number for Marissa Lavinsky is 1912711748. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Q: What is Marissa Lavinsky'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 Marissa Lavinsky was last updated on July 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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 February 03, 2025PECOS Enrolled

4601 MARKET ST, PHILADELPHIA, PA 19139(215) 878-3400 Get Directions Write a Review

NPPES record last updated: July 31, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 31, 2026, Feb 3, 2025 (2 updates tracked since 2025).

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About Marissa J Lavinsky NPPES

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

MARISSA J LAVINSKY (NPI 1912711748) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS020394) and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1912711748

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameMARISSA J LAVINSKY

Location Address4601 MARKET STPhiladelphia, PA 19139-4636

Mailing Address4601 Market StPhiladelphia, PA 19139-4636 · (215) 878-3400

Phone(215) 878-3400

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateFebruary 3, 2025

Last NPPES UpdateJuly 31, 20262 updates tracked since enumeration

NPPES CertifiedJuly 31, 2026

✔ NPI 1912711748 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 PA · PS020394

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.

4601 MARKET ST, Philadelphia, PA 19139

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Secondary Practice Location 1

Location 12801 Grant AvePhiladelphia, PA 19114-1032 · Phone (215) 878-3400

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa J Lavinsky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133691181

PECOS Enrollment IDI20260610004345

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 19139 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

$180.99 typical visit price

range $59.88 – $180.99

Typical copayment $45.24 (range $14.97 – $45.24)

Most-billed visit code 99205

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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.

ALIXANDRA BOUCHER

Counselor (Professional)