Active NPI
Diana Davis, PSY.D.
- Clinical Psychologist
- McLean, VA
National Provider Identifier
1215573159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810006365
- Practice address
- 1499 Chain Bridge Rd Ste 201
MC Lean, VA 22101-5704 - Phone
- (703) 434-2159
- NPI assigned
- Nov 26, 2019
- 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 | 0810006365 | VA | Primary |
Addresses
Primary practice location
1499 Chain Bridge Rd Ste 201
MC Lean, VA 22101-5704
Mailing address
42780 Lauder Ter
Ashburn, VA 20147-3568
Phone (703) 434-2159
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810006365 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1215573159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42780 LAUDER TER",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201473568",
"telephone_number": "703-434-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1499 CHAIN BRIDGE RD STE 201",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221015704",
"telephone_number": "703-434-2159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVIS",
"first_name": "DIANA",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-26",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810006365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McLean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.