Grace Langebeck Guerrero, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

04767 Issued in MD

Practice address

2300 Pimmit Dr. #115
Falls Church, VA 22043-2837

Phone

(703) 447-8930

NPI assigned

Dec 17, 2014

Last updated

Dec 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Grace Yvette Langebeck Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418774400000",
    "number": "1356749766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 PIMMIT DR. #115",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432837",
            "telephone_number": "703-447-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 PIMMIT DR. #115",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432837",
            "telephone_number": "703-447-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "GRACE",
        "middle_name": "LANGEBECK",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-17",
        "last_updated": "2014-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04767",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004437",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "LANGEBECK",
            "middle_name": "YVETTE",
            "credential": "PSY.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• GS Senior Care, LLC
• Marcia E Guarniere, PA-C
• Sophia Elizabeth Guarracino, MS CCC-SLP
• Harini Gudavalli, MD
• Danielle Guerere, M.S., CCC-SLP
• Maria Guevara
• Pallabi Guha, MD
• Andrea Laura Guida, CRNA
• Michael J Guidry, MS
• Gulam-Mohmed M Kolia MD PC

• Clinical Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2014; 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.