Individual provider Active NPI

Ali Navidi, PSY.D.

  • Clinical Psychologist
  • Burke, VA
National Provider Identifier
1356656714
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004066 Issued in VA
Practice address
5244 Lyngate CT Ste 200
Burke, VA 22015-1631
Phone
(240) 603-4882
Fax
(703) 562-7979
NPI assigned
Aug 10, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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 0810004066 VA Primary

Addresses

Primary practice location

5244 Lyngate CT Ste 200
Burke, VA 22015-1631

Mailing address

6728 Metropolitan Center Dr Apt 404
Springfield, VA 22150-4575
Phone (240) 603-4882

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jun 24, 2015 through Jun 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810004066VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Navidi & Associates Current Accepting new patients

Locations

5244 Lyngate Ct
#200
Burke, VA 22015
Phone (703) 508-4591

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281398400000",
    "number": "1356656714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6728 METROPOLITAN CENTER DR APT 404",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221504575",
            "telephone_number": "240-603-4882",
            "fax_number": "703-562-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE CT STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "240-603-4882",
            "fax_number": "703-562-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAVIDI",
        "first_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.