Individual provider Active NPI

Roy Saul Wilensky, PSY.D

  • Clinical Psychologist
  • Sterling, VA
National Provider Identifier
1356358006
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003346 Issued in VA
Practice address
46179 Westlake Dr Ste 340
Sterling, VA 20165-5874
Phone
(804) 207-6737
NPI assigned
Aug 2, 2006
Last updated
May 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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 0810003346 VA Primary

Addresses

Primary practice location

46179 Westlake Dr Ste 340
Sterling, VA 20165-5874

Mailing address

46179 Westlake Dr Ste 340
Sterling, VA 20165-5874
Phone (804) 207-6737

Other practice location 1

1593 Spring Hill Rd Ste 705
Vienna, VA 22182-2289
Phone (804) 207-6737

Other identifiers 2

IdentifierTypeStateIssuer
745089OtherVANC PPO
192719457OtherVAANTHEM

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
I20040316001069 VA Practitioner - Clinical Psychologist 9032009998 Reassigns benefits to 1 organization
I20040421001870 DC Practitioner - Clinical Psychologist 9032009998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Commonwealth Counseling Associates IncGroup PAC ID 0941288583, 207 clinicians

Practice addresses (Care Compare)

1593 Spring Hill Rd
Suite 750
Vienna, VA 22182-2245
Phone (804) 207-6737

46179 Westlake Dr
Suite 340
Sterling, VA 20165-5874
Phone (804) 207-6737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Clinical CurrentSince Jul 26, 2022 Accepting new patients

Locations

20098 Ashbrook Pl
Ste 255
Ashburn, VA 20147

20925 Professional Plz
Ste 230
Ashburn, VA 20147
Phone (703) 621-7121

7051 Heathcote Village Way
Ste 115
Gainesville, VA 20155
Phone (571) 918-9239

1360 Beverly Rd
Ste 200
McLean, VA 22101
Phone (203) 246-9073

9202 Center Oak Ct
Mechanicsvlle, VA 23116
Phone (804) 639-1112

46179 Westlake Dr
Ste 340
Sterling, VA 20165
Phone (571) 350-8507

1593 Spring Hill Rd
Ste 750
Vienna, VA 22182
Phone (646) 457-9187

Interoperability endpoints

  • Direct secure messaging: granatogroup.roywilensky@144557.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1356358006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46179 WESTLAKE DR STE 340",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655874",
            "telephone_number": "804-207-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46179 WESTLAKE DR STE 340",
            "city": "STERLING",
            "state": "VA",
            "postal_code": "201655874",
            "telephone_number": "804-207-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1593 Spring Hill Rd Ste 705",
            "address_purpose": "LOCATION",
            "city": "Vienna",
            "state": "VA",
            "postal_code": "221822289",
            "country_code": "US",
            "telephone_number": "804-207-6737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILENSKY",
        "first_name": "ROY",
        "middle_name": "SAUL",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003346",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PPO",
            "identifier": "745089",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "192719457",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling, VA

Sources for this page

Verify at the official NPI Registry.