Dr. Lauren Fisher, PSYD, PLLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003919 Issued in VA

Legal business name

DR. LAUREN FISHER, PSYD, PLLC

Doing business as

Del Ray Psychological & Wellness Associates

Practice address

2016 Mount Vernon Ave Ste 202
Alexandria, VA 22301-1366

Phone

(703) 585-4809

Fax

(703) 621-1128

NPI assigned

Jan 29, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Lauren Fisher, PSYDNPI 1699946558

Title

Owner/Clinical Psychologist

Phone

(703) 585-4809

Specialties & licenses 1

Addresses

Other names 1

• Del Ray Psychological & Wellness Associates Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lauren Joan Fisher, PSYD

  • Clinical Psychologist
  • Manassas, VA
  • NPI 1699946558
  NPD Authorized official

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

{
    "created_epoch": "1517184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517184000000",
    "number": "1134627870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 MOUNT VERNON AVE STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011366",
            "telephone_number": "703-585-4809",
            "fax_number": "703-621-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 MOUNT VERNON AVE STE 202",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011366",
            "telephone_number": "703-585-4809",
            "fax_number": "703-621-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. LAUREN FISHER, PSYD, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-29",
        "last_updated": "2018-01-29",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER/CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-585-4809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Del Ray Psychological & Wellness Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2018; 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.