Individual provider Active NPI

Daniel Hutson, PSY.D

  • Clinical Psychologist
  • Burke, VA
National Provider Identifier
1386398030
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810007826 Issued in VA
Practice address
5641 Burke Centre Pkwy Ste 133
Burke, VA 22015-2259
Phone
(202) 503-4188
NPI assigned
Feb 10, 2022
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 20001418 DC
Clinical Psychologist 103TC0700X 06779 MD
Clinical Psychologist 103TC0700X 0810007826 VA Primary

Addresses

Primary practice location

5641 Burke Centre Pkwy Ste 133
Burke, VA 22015-2259

Mailing address

5641 Burke Centre Pkwy Ste 133
Burke, VA 22015-2259
Phone (202) 503-4188

Other practice location 1

7610 Pennsylvania Ave Ste 203
Forestville, MD 20747-4716
Phone (301) 420-1972

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

State licenses

LicenseStateTypeSpecialty
20001418DCMDClinical Psychologist
06779MDMDClinical Psychologist
0810007826VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Pathways Psychological Services LLC. CurrentSince Apr 13, 2025 Accepting new patients

Locations

5641 Burke Centre Pkwy
Ste 133
Burke, VA 22015
Phone (202) 503-4188

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": "1644451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1386398030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 BURKE CENTRE PKWY STE 133",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152259",
            "telephone_number": "202-503-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5641 BURKE CENTRE PKWY STE 133",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220152259",
            "telephone_number": "202-503-4188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7610 Pennsylvania Ave Ste 203",
            "address_purpose": "LOCATION",
            "city": "Forestville",
            "state": "MD",
            "postal_code": "207474716",
            "country_code": "US",
            "telephone_number": "301-420-1972",
            "fax_number": "301-420-1973",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUTSON",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-10",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "20001418",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "06779",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.