Active NPI
Carla De Simone Irace
- Psychologist
- Arlington, VA
National Provider Identifier
1093439531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- Practice address
- 1320 N Veitch St Unit 1030
Arlington, VA 22201-6215 - Phone
- (202) 240-2898
- NPI assigned
- Sep 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Primary |
Addresses
Primary practice location
1320 N Veitch St Unit 1030
Arlington, VA 22201-6215
Mailing address
1320 N Veitch St Unit 1030
Arlington, VA 22201-6215
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 14, 2023 through Dec 14, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711152000000",
"number": "1093439531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 N VEITCH ST UNIT 1030",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222016215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 N VEITCH ST UNIT 1030",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222016215",
"telephone_number": "202-240-2898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE SIMONE IRACE",
"first_name": "CARLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-28",
"last_updated": "2024-03-23",
"certification_date": "2024-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.