Individual provider Active NPI

Amanda Sovik-Johnston, PH.D.

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1144634312
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005015 Issued in VA
Practice address
4910 31St St S Ste a
Arlington, VA 22206-1669
Phone
(434) 202-4080
NPI assigned
Jun 16, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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 0810005015 VA Primary

Addresses

Primary practice location

4910 31St St S Ste a
Arlington, VA 22206-1669

Mailing address

141 Ednam Dr Ste 104
Charlottesville, VA 22903-4629

Other practice location 1

141 Ednam Dr Ste 104
Charlottesville, VA 22903-4629
Phone (434) 825-0422

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)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810005015VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Active and Connected Counseling CurrentSince Aug 25, 2025 Accepting new patients
Amanda Sovik-Johnston CurrentSince Aug 25, 2025 Accepting new patients

Locations

4910 31st St S
Ste A
Arlington, VA 22206
Phone (434) 218-0777

141 Ednam Dr
Ste 104
Charlottesville, VA 22903
Phone (434) 825-0422

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1402876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1144634312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 EDNAM DR STE 104",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 31ST ST S STE A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061669",
            "telephone_number": "434-202-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Ednam Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Charlottesville",
            "state": "VA",
            "postal_code": "229034629",
            "country_code": "US",
            "telephone_number": "434-825-0422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOVIK-JOHNSTON",
        "first_name": "AMANDA",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.