Individual provider Active NPI

Roya Khanali, MS, MA, PSYD

  • Psychologist
  • Fredericksburg, VA
National Provider Identifier
1396101093
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810007533 Issued in VA
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

Updated by the provider on Aug 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20260204003618 VA Practitioner - Psychologist Billing Independently 2062819501 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
PS019505PAMDPsychologist
0810007533VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr.Khanali'S Neuropsychological Services, LLC CurrentSince Jun 16, 2025 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.

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.

Verify at the official NPI Registry.