Active NPI
John Gordon Capps, PSYD
- Clinical Psychologist
- Oakton, VA
National Provider Identifier
1245826379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002811
- Practice address
- 10321 Hickory Forest Dr
Oakton, VA 22124-1523 - Phone
- (571) 205-8894
- NPI assigned
- Dec 13, 2020
- Last updated
- Dec 13, 2020
- Sex
- Male
- Sole proprietor
- Yes
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 | 0810002811 | VA | Primary |
Addresses
Primary practice location
10321 Hickory Forest Dr
Oakton, VA 22124-1523
Mailing address
10321 Hickory Forest Dr
Oakton, VA 22124-1523
Phone (703) 319-0080
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 |
|---|---|---|---|
| 0810002811 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607817600000",
"number": "1245826379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10321 HICKORY FOREST DR",
"city": "OAKTON",
"state": "VA",
"postal_code": "221241523",
"telephone_number": "703-319-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10321 HICKORY FOREST DR",
"city": "OAKTON",
"state": "VA",
"postal_code": "221241523",
"telephone_number": "571-205-8894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAPPS",
"first_name": "JOHN",
"middle_name": "GORDON",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-12-13",
"last_updated": "2020-12-13",
"certification_date": "2020-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.