MEDICARE: DR. ALEXANDER KISS PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	35SI00675200	NJ
2	103T00000X	Psychologist	PSY019182	PA

General Provider Information

NPI Number	:	1760095244
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALEXANDER KISS PSY.D.

Provider Business Mailing Address
First Line	:	4800 N SCOTTSDALE RD STE 2500
Second Line	:
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85251-7630
Country	:	US
Telephone Number	:	732-982-2888
Fax Number	:

Provider Business Practice Location Address
First Line	:	88 PRINCETON HIGHTSTOWN RD
Second Line	:
City	:	PRINCETON JUNCTION
State	:	NJ
Zip	:	08550-1100
Country	:	US
Telephone Number	:	732-982-2888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2020
Last Update Date	:	02/04/2026

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