Active NPI
Stephanie Amalfe, PHD
- Clinical Neuropsychologist
- Fairfax, VA
National Provider Identifier
1265273668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810008357
- Practice address
- 8100 Innovation Park Dr Ste 110
Fairfax, VA 22031-4870 - Phone
- (908) 472-7136
- NPI assigned
- Jun 1, 2024
- Sex
- Female
- 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 Neuropsychologist | 103G00000X | 0810008357 | VA | Primary |
Addresses
Primary practice location
8100 Innovation Park Dr Ste 110
Fairfax, VA 22031-4870
Mailing address
5108 Donovan Dr Apt 108
Alexandria, VA 22304-8688
Phone (908) 472-7136
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810008357 | VA | MD | Clinical Neuropsychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717200000000",
"number": "1265273668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5108 DONOVAN DR APT 108",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223048688",
"telephone_number": "908-472-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8100 INNOVATION PARK DR STE 110",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314870",
"telephone_number": "908-472-7136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AMALFE",
"first_name": "STEPHANIE",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-01",
"last_updated": "2024-06-01",
"certification_date": "2024-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810008357",
"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 Jun 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.