Individual provider Active NPI

Lindsay Maureen Nolan, PH.D.

  • Psychologist
  • Fredericksburg, VA
National Provider Identifier
1174291967
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810007567 Issued in VA
Practice address
4026 Plank Rd Ste a
Fredericksburg, VA 22407-4800
Phone
(703) 463-6485
NPI assigned
Sep 6, 2021
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810007567 VA Primary

Addresses

Primary practice location

4026 Plank Rd Ste a
Fredericksburg, VA 22407-4800

Mailing address

4026 Plank Rd Ste a
Fredericksburg, VA 22407-4800
Phone (703) 463-6485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220825000627 VA Practitioner - Clinical Psychologist 1254715287 Practice locations: Fredericksburg, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4026 Plank Rd
A
Fredericksburg, VA 22407-4800
Phone (703) 463-6485

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810007567VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Bory PHD PC CurrentSince Sep 1, 2021 Accepting new patients

Locations

1119 Caroline St
Fredericksburg, VA 22401
Phone (540) 371-2251

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1174291967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4026 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074800",
            "telephone_number": "703-463-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4026 PLANK RD STE A",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224074800",
            "telephone_number": "703-463-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "LINDSAY",
        "middle_name": "MAUREEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-06",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810007567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.