NPIMap

Organization Active NPI

Sport Psychs LLC

  • Exercise & Sports Psychologist
  • MC Lean, VA
National Provider Identifier
1023840329
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exercise & Sports PsychologistTaxonomy code 103TE1100X
Legal business name
SPORT PSYCHS LLC
Practice address
8401 Greensboro Dr Ste 550
MC Lean, VA 22102-5146
Phone
(703) 679-8249
NPI assigned
Aug 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Sabrina Jennings, PHDNPI 1447877527
Title
Co-Owner/ Sport Psychologist
Phone
(516) 476-4065

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exercise & Sports PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TE1100X Primary

Addresses

Primary practice location

8401 Greensboro Dr Ste 550
MC Lean, VA 22102-5146

Mailing address

8401 Greensboro Dr Ste 550
MC Lean, VA 22102-5146
Phone (703) 679-8249

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1023840329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 GREENSBORO DR STE 550",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025146",
            "telephone_number": "703-679-8249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 GREENSBORO DR STE 550",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025146",
            "telephone_number": "703-679-8249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORT PSYCHS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "CO-OWNER/ SPORT PSYCHOLOGIST",
        "authorized_official_telephone_number": "516-476-4065",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TE1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Exercise & Sports",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in MC Lean, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.