Individual provider Active NPI

Alexandra Snead

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1255904348
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810007538 Issued in VA
Practice address
2200 Wilson Blvd Ste 210
Arlington, VA 22201-3324
Phone
(703) 539-5006
NPI assigned
Jul 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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 0810007538 VA Primary

Addresses

Primary practice location

2200 Wilson Blvd Ste 210
Arlington, VA 22201-3324

Mailing address

2200 Wilson Blvd Ste 210
Arlington, VA 22201-3324

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL TheraNest

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Nov 19, 2021 through Nov 19, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810007538VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington DC Behavior Therapy Institute CurrentSince Jul 25, 2021 Accepting new patients

Locations

2200 Wilson Blvd
Ste 210
Arlington, VA 22201
Phone (703) 520-2056

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": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1255904348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD STE 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD STE 210",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013324",
            "telephone_number": "703-539-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNEAD",
        "first_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "TheraNest",
            "affiliation": "N",
            "address_1": "2200 Wilson Blvd Ste 210",
            "city": "Arlington",
            "state": "VA",
            "country_code": "US",
            "postal_code": "222013324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.