Avital Yael Deskalo, LP

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY1001213 Issued in DC

Practice address

277 S. Washington St, Suite 201, #1025
Alexandria, VA 22314

Phone

(703) 249-9084

Fax

(202) 650-6362

NPI assigned

Jul 21, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Kavana Behavioral Health LLC

  • Clinical Child & Adolescent Psychologist
  • Alexandria, VA
  • NPI 1609644087
  NPD Authorized official

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1144637240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 N ELM TREE RD",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532174127",
            "telephone_number": "414-324-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 S. WASHINGTON ST, SUITE 201, #1025",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "22314",
            "telephone_number": "703-249-9084",
            "fax_number": "202-650-6362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESKALO",
        "first_name": "AVITAL",
        "middle_name": "YAEL",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-21",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "713690",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "DC",
            "license": "PSY1001213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Deppmeier, PA-C
• Yalemefrea Dereba
• Derek Morch LCSW LLC
• Laurence Marion Deshields, MD
• Desired Homecare and Therapeutic Services LLC
• Eric Desman
• Sierra Alicia Desorme
• Jean-Paul Desrosiers
• Lily Dessalegn
• Elshaday Dessie

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.