DR. ALLYSSA LANZA PSY.D.
NPI 1922448257
Psychologist in Dayton, OH

Active since July 01, 2013Opted out of Medicare · through Jul 1, 2027
4100 W 3RD ST, DAYTON, OH 45428(937) 268-6511 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Allyssa Lanza Psy.d. NPPES

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

DR. ALLYSSA LANZA PSY.D. (NPI 1922448257) is an individual psychologist in Dayton, Ohio and active in the NPI registry since July 2013. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1922448257
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. ALLYSSA LANZACredential: PSY.D.
Location Address4100 W 3RD STDayton, OH 45428-9000
Mailing Address23 Cambo StBrockton, MA 02301-5862
Sole ProprietorYes
Enumeration DateJuly 1, 2013
Last NPPES UpdateAugust 6, 2015
NPI 1922448257 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.
4100 W 3RD ST, Dayton, OH 45428

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. Allyssa Lanza 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 July 1, 2019 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2019
Opt-Out In Effect ThroughJuly 1, 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.

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.

Radiologic Technologist (Nuclear Medicine Technology)
4100 W 3RD ST
DAYTON, OH 45428
Physical Therapist
4100 W 3RD ST
DAYTON, OH 45428
Physician Assistant (Medical)
4100 W 3RD ST
DAYTON, OH 45428
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4100 W 3RD ST
DAYTON, OH 45428
Recreation Therapist
4100 W 3RD ST
DAYTON, OH 45428
Optometrist
4100 W 3RD ST
DAYTON, OH 45428
Music Therapist
4100 W 3RD ST
DAYTON, OH 45428
Podiatrist (Foot & Ankle Surgery)
4100 W 3RD ST
DAYTON, OH 45428

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 Allyssa Lanza's NPI number?

The NPI number for Allyssa Lanza is 1922448257. It was assigned to this individual provider in the NPPES registry on July 1, 2013.

Where is Allyssa Lanza located?

Allyssa Lanza practices at 4100 W 3rd St, Dayton, OH 45428. The listed phone number is (937) 268-6511.

What is Allyssa Lanza's specialty?

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

Is Allyssa Lanza enrolled in Medicare?

No. Allyssa Lanza has opted out of Medicare through July 1, 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 Allyssa Lanza was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.