Active NPI
Erika Frantz Madison, PH.D.
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1346358074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003484
- Practice address
- 4080 Chain Bridge Rd
Fairfax, VA 22030-4018 - Phone
- (703) 246-3484
- Fax
- (703) 273-9074
- NPI assigned
- Aug 25, 2006
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | 0810003484 | VA | Primary |
Addresses
Primary practice location
4080 Chain Bridge Rd
Fairfax, VA 22030-4018
Mailing address
3535 Armfield Farm Dr
Chantilly, VA 20151-3365
Phone (703) 689-0160
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 |
|---|---|---|---|
| 0810003484 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1346358074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 ARMFIELD FARM DR",
"city": "CHANTILLY",
"state": "VA",
"postal_code": "201513365",
"telephone_number": "703-689-0160",
"fax_number": "703-273-9074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4080 CHAIN BRIDGE RD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220304018",
"telephone_number": "703-246-3484",
"fax_number": "703-273-9074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MADISON",
"first_name": "ERIKA",
"middle_name": "FRANTZ",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003484",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.