Active NPI
Anna Maria Lucca, PH.D.
- Clinical Psychologist
- McLean, VA
National Provider Identifier
1144384009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004889
- Practice address
- 6723 Whittier Ave
Suite 207
MC Lean, VA 22101-4522 - Phone
- (703) 475-6478
- NPI assigned
- Dec 21, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY1000071 | DC | |
| Clinical Psychologist | 103TC0700X | 0810004889 | VA | Primary |
Addresses
Primary practice location
6723 Whittier Ave
Suite 207
MC Lean, VA 22101-4522
Mailing address
1810 N Bryan St
Arlington, VA 22201-4018
Phone (202) 258-9515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 21, 2021 through Jan 21, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000071 | DC | MD | Clinical Psychologist |
| 0810004889 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1144384009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1810 N BRYAN ST",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222014018",
"telephone_number": "202-258-9515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6723 WHITTIER AVE",
"address_2": "SUITE 207",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221014522",
"telephone_number": "703-475-6478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCCA",
"first_name": "ANNA",
"middle_name": "MARIA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-21",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000071",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
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- Loudoun Medical Group, PC (Physicians Premiere Weight and Wellness Center)
- Loudoun Medical Group, PC (Urogynecology Center of Northern Virginia)
- Charles Lowe, NP
- Helen Lowenstein, LCSW
- Yully Ludena
- Lumen Dental of Tysons Corner LLC
- Kate Lunsford
- Paul Minh Duc Luong, OD
- Mark Luposello, D.M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.