Individual provider Active NPI

Stephanie Gordon Posner, PSY.D.

  • Clinical Psychologist
  • Vienna, VA
National Provider Identifier
1366941221
Registry record updated Feb 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005901 Issued in VA
Practice address
1595 Spring Hill Rd Ste 520
Vienna, VA 22182-2228
Phone
(703) 687-6610
NPI assigned
Feb 6, 2018
Last updated
Feb 6, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2018

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 0810005901 VA Primary

Addresses

Primary practice location

1595 Spring Hill Rd Ste 520
Vienna, VA 22182-2228

Mailing address

7013 Crail Dr
Bethesda, MD 20817-4725
Phone (202) 841-5125

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
Previously, effective Oct 1, 2018 through Oct 1, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810005901VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1366941221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7013 CRAIL DR",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208174725",
            "telephone_number": "202-841-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1595 SPRING HILL RD STE 520",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221822228",
            "telephone_number": "703-687-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POSNER",
        "first_name": "STEPHANIE",
        "middle_name": "GORDON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vienna, VA

Sources for this page

Verify at the official NPI Registry.