Leslie Erin Stelljes Nanson, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005240 Issued in VA

Practice address

1900 Campus Commons Dr
Suite 100
Reston, VA 20191-1561

Phone

(703) 677-8633

NPI assigned

Aug 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Leslie Stelljes Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• LSN Psychological Services, LLC

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  • NPI 1619415817
  NPD (past) Authorized official
• Aspen Grove Wellness

  • Psychologist
  • Hagerstown, MD
  • NPI 1497401319
  NPD

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486512000000",
    "number": "1134538655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SUNRISE VALLEY DR",
            "address_2": "#814",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911411",
            "telephone_number": "703-677-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CAMPUS COMMONS DR",
            "address_2": "SUITE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911561",
            "telephone_number": "703-677-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLJES NANSON",
        "first_name": "LESLIE",
        "middle_name": "ERIN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2017-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESLIE",
            "last_name": "STELLJES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Heather M. Stec, M.D.
• Valentina Angela Steenblik
• Seth Steinhauer, DPT
• Paige Steinhoff
• Stellaterra Studio, LLC
• Stephanie McMahon, PH.D., LLC
• Laura Stephens, PA-C
• Mindy Stern, M.D.
• Abram Sterne, PHD, DCLINPSYCH
• Katera Helen Stevens

• Clinical Psychologist in Reston, VA
• Providers in Reston, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.