Individual provider Active NPI

Lisa M Locke-Downer, PHD

  • Clinical Psychologist
  • Crozet, VA
National Provider Identifier
1104824143
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003340 Issued in VA
Practice address
300 Claremont LN Ste 103
Crozet, VA 22932-3455
Phone
(434) 466-1588
Fax
(866) 289-5249
NPI assigned
Jul 13, 2005
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003340 VA Primary

Addresses

Primary practice location

300 Claremont LN Ste 103
Crozet, VA 22932-3455

Mailing address

PO Box 28
Crozet, VA 22932-0028
Phone (434) 466-1588

Other practice location 1

325 Four Leaf Ln Ste 12
Charlottesville, VA 22903-9203
Phone (434) 466-1588

Other identifiers 1

IdentifierTypeStateIssuer
0810003340OtherVASTATE LICENSING BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810003340VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Clinical & Educational Services Clinical CurrentSince Jan 15, 2023 Accepting new patients
Albemarle Dynamic Psychiatry LLC PastSince Jun 22, 2021 Accepting new patients

Locations

325 Four Leaf Ln
Ste 12
Charlottesville, VA 22903
Phone (434) 466-1588

300 Claremont Ln
Ste 103
Crozet, VA 22932
Phone (434) 264-7711

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1104824143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229320028",
            "telephone_number": "434-466-1588",
            "fax_number": "434-823-1174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CLAREMONT LN STE 103",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229323455",
            "telephone_number": "434-466-1588",
            "fax_number": "866-289-5249"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 Four Leaf Ln Ste 12",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229039203",
            "country_code": "US",
            "telephone_number": "434-466-1588",
            "fax_number": "434-823-1174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOCKE-DOWNER",
        "first_name": "LISA",
        "middle_name": "M",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSING BOARD",
            "identifier": "0810003340",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crozet, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.