Individual provider Active NPI

Sheila Donaldson Duston, PSY.D.

  • Clinical Psychologist
  • Leesburg, VA
National Provider Identifier
1215174685
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004032 Issued in VA
Practice address
100 Dry Mill Rd SW Ste 102
Leesburg, VA 20175-2636
Phone
(703) 443-2481
Fax
(703) 443-2483
NPI assigned
Jan 7, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004032 VA Primary

Addresses

Primary practice location

100 Dry Mill Rd SW Ste 102
Leesburg, VA 20175-2636

Mailing address

12201 Lake James Dr
Herndon, VA 20171-2010
Phone (703) 629-3782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 3, 2017 through Jan 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810004032VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1215174685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 LAKE JAMES DR",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201712010",
            "telephone_number": "703-629-3782",
            "fax_number": "703-648-1444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DRY MILL RD SW STE 102",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201752636",
            "telephone_number": "703-443-2481",
            "fax_number": "703-443-2483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUSTON",
        "first_name": "SHEILA",
        "middle_name": "DONALDSON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, VA

Sources for this page

Verify at the official NPI Registry.