DR. CARISSA MARIE LANE PSYD
NPI 1962128553
Psychologist - Clinical in Philadelphia, PA

Q: What is Carissa Lane's NPI number?

The NPI number for Carissa Lane is 1962128553. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Q: What is Carissa Lane'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 Carissa Lane was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since October 14, 2022

3900 WOODLAND AVE, PHILADELPHIA, PA 19104(215) 823-5800 Get Directions Write a Review

NPPES record last updated: October 14, 2022. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Dr. Carissa Marie Lane Psyd NPPES

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

DR. CARISSA MARIE LANE PSYD (NPI 1962128553) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PS019580) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1962128553

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. CARISSA MARIE LANECredential: PSYD

Location Address3900 WOODLAND AVEPhiladelphia, PA 19104-4551

Mailing Address2112 South St Apt 4Philadelphia, PA 19146-1267 · (515) 943-6073

Phone(215) 823-5800

Sole ProprietorNo

Enumeration DateOctober 14, 2022

NPPES CertifiedOctober 14, 2022

✔ NPI 1962128553 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 · PS019580

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.

3900 WOODLAND AVE, Philadelphia, PA 19104

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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.

MEREDITH A SPINDLER MD

Psychiatry & Neurology (Neurology)

3900 WOODLAND AVE, PADRECC, #127
PHILADELPHIA, PA 19104

Philadelphia County (215) 823-5800

DENIS MICHAEL CAREY LCSW

Social Worker (Clinical)

3900 WOODLAND AVE
PHILADELPHIA, PA 19104

Philadelphia County (267) 292-7700

RONALD ANDREW SPOTTS CAADC

Counselor (Addiction (Substance Use Disorder))

3900 WOODLAND AVE, ADDICTION RECOVERY UNIT 7TH FLOOR
PHILADELPHIA, PA 19104

Philadelphia County (215) 823-5800

CAROL BUHRMAN RD

Dietitian, Registered (Nutrition, Gerontological)

3900 WOODLAND AVE
PHILADELPHIA, PA 19104

Philadelphia County (215) 823-5800

MS. CARLA PATRICE CLEMENTS RN, CRNP

Nurse Practitioner (Acute Care)

3900 WOODLAND AVE
PHILADELPHIA, PA 19104

Philadelphia County (215) 823-5800

DR. FAUZIA HUSSAIN PHARM.D.

Pharmacist (Pharmacotherapy)

3900 WOODLAND AVE, PHARMACY SERVICE #119
PHILADELPHIA, PA 19104

Philadelphia County (215) 823-4153

MR. FREDRICK W CLAUSS MPT

Physical Therapist

3900 WOODLAND AVE
PHILADELPHIA, PA 19104

Philadelphia County (215) 823-5800

DR. LEAH C JONES M.D.

Internal Medicine

3900 WOODLAND AVE
PHILADELPHIA, PA 19104

Philadelphia County (215) 823-5967

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 Carissa Lane's NPI number?

The NPI number for Carissa Lane is 1962128553. It was assigned to this individual provider in the NPPES registry on October 14, 2022.

Where is Carissa Lane located?

Carissa Lane practices at 3900 Woodland Ave, Philadelphia, PA 19104. The listed phone number is (215) 823-5800.

What is Carissa Lane'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 Carissa Lane was last updated on October 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.