Individual provider Active NPI

Mary Kathleen Hill, PH.D.

  • Psychologist
  • Fairfax, VA
National Provider Identifier
1285948042
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810004213 Issued in VA
Practice address
8081 Innovation Park Dr Ste 604
Fairfax, VA 22031-4867
Phone
(571) 472-6880
Fax
(571) 665-6850
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004213 VA
Psychologist 103T00000X 0810004213 VA Primary

Addresses

Primary practice location

8081 Innovation Park Dr Ste 604
Fairfax, VA 22031-4867

Mailing address

8081 Innovation Park Dr Ste 604
Fairfax, VA 22031-4867
Phone (571) 472-6880

Other practice location 1

8221 Willow Oaks Corporate Dr Ste 4-420
Fairfax, VA 22031-4512
Phone (703) 289-7560

Other practice location 2

4320 Seminary Rd
Alexandria, VA 22304-1535
Phone (703) 504-3000

Other practice location 3

3600 Joseph Siewick Dr
Fairfax, VA 22033-1709
Phone (703) 391-3600

Other practice location 4

3300 Gallows Rd
Falls Church, VA 22042-3300
Phone (703) 776-4001

Other practice location 5

44045 Riverside Pkwy
Leesburg, VA 20176-5101
Phone (703) 858-6000

Other practice location 6

8221 Willow Oaks Corporate Dr Ste 4-435
Fairfax, VA 22031-4512
Phone (703) 289-7560

Other practice location 7

2501 Parkers Ln
Alexandria, VA 22306-3209
Phone (703) 664-7000

Other practice location 8

8221 Willow Oaks Corporate Dr Ste 4-430
Fairfax, VA 22031-4512
Phone (703) 289-7560

Other practice location 9

224 Cornwall St NW
Leesburg, VA 20176-2701
Phone (703) 771-2894

Other practice location 10

8221 Willow Oaks Corporate Dr Ste 4-430
Fairfax, VA 22031-4512
Phone (703) 289-7560

Other practice location 11

8221 Willow Oaks Corporate Dr Ste 4-425
Fairfax, VA 22031-4512
Phone (703) 289-7560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190403000990 VA Practitioner - Clinical Psychologist 9638455744 Reassigns benefits to 1 organization
I20200511001800 DC Practitioner - Clinical Psychologist 9638455744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inova Health Care ServicesGroup PAC ID 2466351093, 1,821 clinicians

Practice addresses (Care Compare)

8081 Innovation Park Dr
Fairfax, VA 22031-4867

8505 Arlington Blvd
Fairfax, VA 22031-4630

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.36 of 100Reported as group
Quality
73.03
Promoting interoperability
100
Improvement activities
40
Cost
71.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810004213VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Inova Health Care Services CurrentSince Apr 16, 2020 Accepting new patients
Inova Health Care Services CurrentSince Apr 16, 2020 Accepting new patients
Inova Health Care Services CurrentSince Apr 16, 2020 Accepting new patients
Familyfirst Psychological Services, PC Past Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

8221 Willow Oaks Corporate Dr
Ste 4430
Fairfax, VA 22031

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

8221 Willow Oaks Corporate Dr
Ste 4425
Fairfax, VA 22031
Phone (703) 289-7599

8081 Innovation Park Dr
Ste 604
Fairfax, VA 22031
Phone (571) 472-6880

3600 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-3037

8221 Willow Oaks Corporate Dr
Ste 4435
Fairfax, VA 22031

8221 Willow Oaks Corporate Dr
Ste 4420
Fairfax, VA 22031
Phone (703) 289-7599

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44045 Riverside Pkwy
Leesburg, VA 20176
Phone (703) 858-6040

224 Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1285948042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8081 INNOVATION PARK DR STE 604",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-6880",
            "fax_number": "571-665-6850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314867",
            "telephone_number": "571-472-6880",
            "fax_number": "571-665-6850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8221 Willow Oaks Corporate Dr Ste 4-420",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-289-7560",
            "fax_number": "703-204-9001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4320 Seminary Rd",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223041535",
            "country_code": "US",
            "telephone_number": "703-504-3000",
            "fax_number": "703-504-3388",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3600 Joseph Siewick Dr",
            "address_purpose": "LOCATION",
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            "postal_code": "220331709",
            "country_code": "US",
            "telephone_number": "703-391-3600",
            "fax_number": "703-391-3414",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3300 Gallows Rd",
            "address_purpose": "LOCATION",
            "city": "Falls Church",
            "state": "VA",
            "postal_code": "220423300",
            "country_code": "US",
            "telephone_number": "703-776-4001",
            "fax_number": "703-776-7113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44045 Riverside Pkwy",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765101",
            "country_code": "US",
            "telephone_number": "703-858-6000",
            "fax_number": "703-858-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8221 Willow Oaks Corporate Dr Ste 4-435",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-289-7560",
            "fax_number": "703-289-4612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2501 Parkers Ln",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223063209",
            "country_code": "US",
            "telephone_number": "703-664-7000",
            "fax_number": "703-664-7666",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8221 Willow Oaks Corporate Dr Ste 4-430",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-289-7560",
            "fax_number": "703-289-4612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Cornwall St NW",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201762701",
            "country_code": "US",
            "telephone_number": "703-771-2894",
            "fax_number": "703-779-5429",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8221 Willow Oaks Corporate Dr Ste 4-430",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-289-7560",
            "fax_number": "703-289-4613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8221 Willow Oaks Corporate Dr Ste 4-425",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314512",
            "country_code": "US",
            "telephone_number": "703-289-7560",
            "fax_number": "703-289-4612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HILL",
        "first_name": "MARY",
        "middle_name": "KATHLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004213",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.