Individual provider Active NPI

Mark Frederick Yapelli, PH.D.

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1215364914
Registry record updated Nov 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004869 Issued in VA
Practice address
1655 Fort Myer Dr
Suite # 350
Arlington, VA 22209-3113
Phone
(703) 679-0067
NPI assigned
Sep 26, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2013

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 0810004869 VA Primary

Addresses

Primary practice location

1655 Fort Myer Dr
Suite # 350
Arlington, VA 22209-3113

Mailing address

1655 Fort Myer Dr
Suite # 350
Arlington, VA 22209-3113
Phone (703) 679-0067

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 Jul 1, 2016 through Jul 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810004869VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1380153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383436800000",
    "number": "1215364914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR",
            "address_2": "SUITE # 350",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093113",
            "telephone_number": "703-679-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR",
            "address_2": "SUITE # 350",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093113",
            "telephone_number": "703-679-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAPELLI",
        "first_name": "MARK",
        "middle_name": "FREDERICK",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.