Individual provider Active NPI

Alison C Smith, PH.D.

  • Psychologist
  • Fairfax, VA
National Provider Identifier
1063685287
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
081003934 Issued in VA
Practice address
10400 Eaton PL Ste 430
Fairfax, VA 22030-2208
Phone
(703) 407-9181
NPI assigned
Apr 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 081003934 VA Primary

Addresses

Primary practice location

10400 Eaton PL Ste 430
Fairfax, VA 22030-2208

Mailing address

10400 Eaton PL Ste 430
Fairfax, VA 22030-2208
Phone (703) 407-9181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251119001620 DC Practitioner - Clinical Psychologist 4981195724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10400 Eaton PL
Suite 430
Fairfax, VA 22030-2208
Phone (703) 407-9181

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
081003934VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alison C Smith PHD PLLC Psychologist CurrentSince Oct 5, 2025 Accepting new patients
Womens Center PastSince Aug 8, 1997 Accepting new patients

Locations

10400 Eaton Pl
Ste 430
Fairfax, VA 22030
Phone (703) 277-9510

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755820800000",
    "number": "1063685287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 430",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302208",
            "telephone_number": "703-407-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10400 EATON PL STE 430",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302208",
            "telephone_number": "703-407-9181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ALISON",
        "middle_name": "C",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "081003934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.