Active NPI
Richard Elmer Rawson, PSY.D.
- Psychologist
- Herndon, VA
National Provider Identifier
1174723712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810000377
- Practice address
- 491 Carlisle Dr Ste B
Herndon, VA 20170-4895 - Phone
- (703) 481-9369
- Fax
- (703) 991-9162
- NPI assigned
- Jul 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810000377 | VA | Primary |
Addresses
Primary practice location
491 Carlisle Dr Ste B
Herndon, VA 20170-4895
Mailing address
9834 Beach Mill Rd
Great Falls, VA 22066-3709
Phone (703) 599-1078
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810000377 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reston Psychological Center, P.C. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Reston, VA
- NPI 1013052927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185148800000",
"number": "1174723712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9834 BEACH MILL RD",
"city": "GREAT FALLS",
"state": "VA",
"postal_code": "220663709",
"telephone_number": "703-599-1078",
"fax_number": "703-991-9162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "491 CARLISLE DR STE B",
"city": "HERNDON",
"state": "VA",
"postal_code": "201704895",
"telephone_number": "703-481-9369",
"fax_number": "703-991-9162"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAWSON",
"first_name": "RICHARD",
"middle_name": "ELMER",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2007-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810000377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Herndon, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.