Individual provider Active NPI

Lindsay Jean Czajka, CLINICAL PSYCHOLOGIS

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1255894432
Registry record updated Apr 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810006134 Issued in VA
Practice address
403 William St Ste C
Fredericksburg, VA 22401-5839
Phone
(540) 277-9896
NPI assigned
Apr 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2022

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 0810006134 VA Primary

Addresses

Primary practice location

403 William St Ste C
Fredericksburg, VA 22401-5839

Mailing address

403 William St Ste C
Fredericksburg, VA 22401-5839
Phone (540) 220-6684

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
0810006134VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1555113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649030400000",
    "number": "1255894432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 WILLIAM ST STE C",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015839",
            "telephone_number": "540-220-6684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 WILLIAM ST STE C",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015839",
            "telephone_number": "540-277-9896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAJKA",
        "first_name": "LINDSAY",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "CLINICAL PSYCHOLOGIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-13",
        "last_updated": "2022-04-04",
        "certification_date": "2022-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; 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.