Individual provider Active NPI

Diane Louise Woolheater, MA

  • School Psychologist
  • Alexandria, VA
National Provider Identifier
1205324811
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0813000678 Issued in VA
Practice address
6525 Montrose St
Alexandria, VA 22312-2245
Phone
(703) 658-5900
NPI assigned
Apr 30, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813000678 VA Primary

Addresses

Primary practice location

6525 Montrose St
Alexandria, VA 22312-2245

Mailing address

8270 Willow Oaks Corporate Dr FL 3
Fairfax, VA 22031-4511

Other identifiers 1

IdentifierTypeStateIssuer
0813000678OtherVADEPARTMENT OF HEALTH PROFESSIONS

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
0813000678VAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1205324811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8270 WILLOW OAKS CORPORATE DR FL 3",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 MONTROSE ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223122245",
            "telephone_number": "703-658-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOLHEATER",
        "first_name": "DIANE",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-30",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH PROFESSIONS",
            "identifier": "0813000678",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2018; 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.