Organization Active NPI

Dawna Thompson Psychology LLC

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1104416064
Registry record updated Jan 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DAWNA THOMPSON PSYCHOLOGY LLC
Practice address
4031 University Dr Ste 100
Fairfax, VA 22030-3400
Phone
(571) 354-7248
NPI assigned
Jan 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2021

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

Authorized official

Name
Dr. Dawna Farrar Thompson, PH.D.
Title
Owner
Phone
(703) 618-7746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

4031 University Dr Ste 100
Fairfax, VA 22030-3400

Mailing address

12221 Henderson Rd
Clifton, VA 20124-2213
Phone (703) 618-7746

National Provider Directory

National Provider Directory

Locations

4031 University Dr
Ste 100
Fairfax, VA 22030
Phone (703) 988-2042

NPI Registry JSON

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

{
    "created_epoch": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611446400000",
    "number": "1104416064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 HENDERSON RD",
            "city": "CLIFTON",
            "state": "VA",
            "postal_code": "201242213",
            "telephone_number": "703-618-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4031 UNIVERSITY DR STE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303400",
            "telephone_number": "571-354-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAWNA THOMPSON PSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2021-01-24",
        "certification_date": "2021-01-24",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAWNA",
        "authorized_official_middle_name": "FARRAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-618-7746",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2021; 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.