Del Ray Psych & Wellness, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003919 Issued in VA

Legal business name

DEL RAY PSYCH & WELLNESS, LLC

Practice address

1900 Mount Vernon Ave
Alexandria, VA 22301-1302

Phone

(703) 585-4809

Fax

(703) 621-1128

NPI assigned

May 25, 2018

Last updated

Jul 11, 2023By the provider in NPPES

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

Phone

(703) 585-4809

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lauren Joan Fisher, PSYD

  • Clinical Psychologist
  • Manassas, VA
  • NPI 1699946558
  NPD Authorized official
• Katie Ann King

  • Mental Health Counselor
  • Anacortes, WA
  • NPI 1891622239
  NPD (past)

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689033600000",
    "number": "1154812105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011302",
            "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": "1900 MOUNT VERNON AVE",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223011302",
            "telephone_number": "703-585-4809",
            "fax_number": "703-621-1128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "902 7th St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Anacortes",
            "state": "WA",
            "postal_code": "982214104",
            "country_code": "US",
            "telephone_number": "360-841-5002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DEL RAY PSYCH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-585-4809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Define Physical Therapy, LLC
• Deidre Marie-Francoise Defoe, M.D.,MPH
• Angela Degraaf
• Michael Emerson Deitz, M.ED, NCC, LPC
• Laura A Del Campo, PA-C
• Jessica Del Rossi, PA-C
• Maria Eugenia Del Villar, LCSW
• Rosheanne Anais Dela Cruz, PHARMD
• Jayne Elizabeth Delaney, D.D.S.
• Michael Delaney, MD

• 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 Jul 11, 2023; 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.