Individual provider Active NPI

Brianna La Nyce Ector, PSY.D.

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1245922178
Registry record updated May 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810008176 Issued in VA
Practice address
10513 Judicial Dr Ste 301
Fairfax, VA 22030-7528
Phone
(703) 966-5173
NPI assigned
May 22, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2023

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 0810008176 VA Primary

Addresses

Primary practice location

10513 Judicial Dr Ste 301
Fairfax, VA 22030-7528

Mailing address

6212 Les Dorson LN
Alexandria, VA 22315-3228
Phone (571) 221-7048

Other practice location 1

6212 Les Dorson Ln
Alexandria, VA 22315-3228
Phone (571) 221-7048

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

LicenseStateTypeSpecialty
0810008176VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity & Wellness Pathways, PLLC CurrentSince May 12, 2024 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1245922178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6212 LES DORSON LN",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223153228",
            "telephone_number": "571-221-7048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10513 JUDICIAL DR STE 301",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307528",
            "telephone_number": "703-966-5173"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6212 Les Dorson Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223153228",
            "country_code": "US",
            "telephone_number": "571-221-7048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECTOR",
        "first_name": "BRIANNA",
        "middle_name": "LA NYCE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.