Amber L.S. Parker, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004305 Issued in VA

Practice address

42450 Fawn Meadow PL
Chantilly, VA 20152-4177

Phone

(540) 205-2998

Fax

(540) 205-2999

NPI assigned

Dec 7, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Clinical Psychologist

Education

Other, 2009

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Cedar Psychological Center

  • Clinical Psychologist
  • Chantilly, VA
  • NPI 1922532001
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1323216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1396013173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42450 FAWN MEADOW PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524177",
            "telephone_number": "540-205-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 FAWN MEADOW PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524177",
            "telephone_number": "540-205-2998",
            "fax_number": "540-205-2999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "AMBER",
        "middle_name": "L.S.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-07",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiley Papcun, OTR
• Dong S Park, DDS
• Hyekyong Park, PHARMACIST
• Hyesin Park
• Jeannie Park
• Leroyal Parker, LPC
• Shandi Lyn Partner
• Julia Passuth, OTR/L
• Claudia Pastorelli, AUD, CCC-A
• Charvee Patel, PHARM.D

• Clinical Psychologist in Chantilly, VA
• Providers in Chantilly, 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 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.