Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Marissa J Lavinsky

Individual provider Clinical Psychologist · NPI 1912711748

Marissa J Lavinsky is a Clinical Psychologist in Philadelphia, Pennsylvania. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2025
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Practice location Address checks out

4601 Market St
Philadelphia, PA 19139-4636
Phone: (215) 878-3400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2801 Grant Ave, Philadelphia, PA 19114-1032 — (215) 878-3400

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS020394 (PA)

Record details

NPI number1912711748
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 3, 2025
Last updated in NPPESJuly 31, 2026
Certification dateJuly 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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