Paige Malia Victorine, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007929 Issued in VA

Practice address

1530 Wilson Blvd Ste 360
Arlington, VA 22209-2466

Phone

(571) 534-3825

Fax

(571) 376-6941

NPI assigned

Sep 20, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nouveau Psychological Wellness, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Arlington, VA
  • NPI 1326814484

  Clinical

  NPD Authorized official
• Arlington DC Behavior Therapy Institute

  • Cognitive & Behavioral Psychologist
  • Arlington, VA
  • NPI 1235601584
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1023788023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 WILSON BLVD STE 360",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092466",
            "telephone_number": "571-534-3825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 WILSON BLVD STE 360",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092466",
            "telephone_number": "571-534-3825",
            "fax_number": "571-376-6941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Wilson Blvd Ste 745",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222015424",
            "country_code": "US",
            "telephone_number": "571-534-3825",
            "fax_number": "571-376-6941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VICTORINE",
        "first_name": "PAIGE",
        "middle_name": "MALIA",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gail Gibson Vest, NP
• VHC Colorectal Surgery Associates, LLC
• Vibrant ABA VA LLC
• Magaly Cristina Vicente, LCSW
• Victoria L. Solsberry, LCSW, PC
• Neil M Vidwans, M.D.
• Jean Vike, MD
• Kathryn Jockovic Villa, M.D.
• Ricardo Villalobos, M.A., N.C.C.
• Rocio Villalobos

• Clinical Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.