Active NPI
Roya Khanali, MS, MA, PSYD
- Psychologist
- Fredericksburg, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810007533
- Practice address
- 1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953 - Phone
- (571) 317-1386
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PS019505 | PA | |
| Psychologist | 103T00000X | 0810007533 | VA | Primary |
Addresses
Primary practice location
1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Mailing address
1320 Central Park Blvd Ste 200
Fredericksburg, VA 22401-4953
Phone (571) 317-1386
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1320 Central Park Blvd
Suite 200
Fredericksburg, VA 22401-4953
Phone (571) 317-1386
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS019505 | PA | MD | Psychologist |
| 0810007533 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr.Khanali'S Neuropsychological Services, LLC | Current | Accepting new patients | |
| Cope Incorporated | Past | Accepting new patients |
Locations
1320 Central Park Blvd
Ste 200
Fredericksburg, VA 22401
Phone (540) 623-7198
10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708
Organizations & group practices 2
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.
-
- Adult Mental Health Clinic/Center
- Fredericksburg, VA
- NPI 1952068934
-
- Counseling Psychologist
- Washington, DC
- NPI 1053729038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691020800000",
"number": "1396101093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 CENTRAL PARK BLVD STE 200",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014953",
"telephone_number": "571-317-1386"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 CENTRAL PARK BLVD STE 200",
"city": "FREDERICKSBURG",
"state": "VA",
"postal_code": "224014953",
"telephone_number": "571-317-1386"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHANALI",
"first_name": "ROYA",
"credential": "MS, MA, PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2023-08-03",
"certification_date": "2023-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PA",
"license": "PS019505",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810007533",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fredericksburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.