ELIZABETH RENEE DISNEY (PH.D.) – Psychologist, NPI 1770505331
Psychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
571 CLINICAL PSYCHOLOGIST in MD
Provider Addresses for ELIZABETH RENEE DISNEY (PH.D.)
232, Peachtree Hollow Court Northeast, Atlanta, Georgia, 30328, United States
ATLANTA, GA 303091316
Phone: (404) 231-4431
Fax: (404) 231-5677
Type: Mailing
6325 WOODSIDE CT STE 350
COLUMBIA, MD 210461042
Phone: (410) 910-9660
Type: Mailing
200, Park Avenue, Mount Vernon, Baltimore, Maryland, 21201, United States
BALTIMORE, MD 212015634
Phone: (443) 738-0300
Fax: (443) 738-0301
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-08-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050907001038 | I | Clinical Psychologist | MD | TBD |
| I20220810000553 | I | Clinical Psychologist | DC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30309)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist | MD | |
| Marriage And Family Therapist | MD | |
| Clinical Psychologist | TX | |
| Clinical Psychologist | MD | |
| Clinical Psychologist | MD | |
| Clinical Psychologist | PA | |
| Clinical Psychologist | MD | |
| Clinical Social Worker | MD | |
| Clinical Psychologist | CA | |
| Clinical Psychologist | PA |
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