Active NPI
Dayna Northart, PHD
- Clinical Psychologist
- Reston, VA
National Provider Identifier
1215282082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 28677
- Practice address
- 1768 Business Center Dr Ste 360
Reston, VA 20190-5358 - Phone
- (619) 796-1358
- NPI assigned
- Jul 18, 2012
- Last updated
- Sep 26, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 28677 | CA | Primary |
Addresses
Primary practice location
1768 Business Center Dr Ste 360
Reston, VA 20190-5358
Mailing address
1768 Business Center Dr Ste 360
Reston, VA 20190-5358
Phone (619) 752-0419
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28677 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dayna Northart, PHD, a Psychological Corporation | Clinical | Current | Accepting new patients |
Locations
2358 University Ave
San Diego, CA 92104
Phone (619) 304-0251
2535 Camino del Rio S
Ste 303
San Diego, CA 92108
Phone (619) 796-1358
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.
-
- Clinical Psychologist
- San Diego, CA
- NPI 1942953344
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1215282082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1768 BUSINESS CENTER DR STE 360",
"city": "RESTON",
"state": "VA",
"postal_code": "201905358",
"telephone_number": "619-752-0419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1768 BUSINESS CENTER DR STE 360",
"city": "RESTON",
"state": "VA",
"postal_code": "201905358",
"telephone_number": "619-796-1358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHART",
"first_name": "DAYNA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-07-18",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "28677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reston, VA
- Michael Ayuk Nkongho, PHARM. D
- Eduardo Christian Noguera, M.D.
- Ahmad Osman Noori, M.D.
- Ann Norman, LCSW
- North County Health Center
- Northern Virginia Applied Behavior Analysis, L.L.C.
- Northern Virginia Center for Arthritis, PC
- Northern Virginia Hearing Aid LLC
- Northern Virginia Multi-Specialty, LLC
- Northern Virginia Psychology Professionals, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 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.