William Joseph Stejskal, PHD

Primary specialty

Forensic PsychologistTaxonomy code 103TF0200X

License

0810001635 Issued in VA

Practice address

4320 Prince William Pkwy Ste 109
Woodbridge, VA 22192-8100

Phone

(703) 680-4200

Fax

(703) 680-5011

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1275689390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 PRINCE WILLIAM PKWY STE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928100",
            "telephone_number": "703-680-4200",
            "fax_number": "703-680-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 PRINCE WILLIAM PKWY STE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928100",
            "telephone_number": "703-680-4200",
            "fax_number": "703-680-5011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Opitz Blvd Ste 105B",
            "address_2": "Suite 105B",
            "address_purpose": "LOCATION",
            "city": "Woodbridge",
            "state": "VA",
            "postal_code": "221913342",
            "country_code": "US",
            "telephone_number": "703-491-0042",
            "fax_number": "703-491-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEJSKAL",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "DC",
            "license": "1475",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "VA",
            "license": "0810001635",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001635",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "145746",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Matthew Stevens, LPC

• Forensic Psychologist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Forensic Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.