Organization Active NPI

Roy Wilensky, PSYD, LCP, PLLC

  • Clinical Psychologist
  • Falls Church, VA
National Provider Identifier
1407320526
Registry record updated Jan 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ROY WILENSKY, PSYD, LCP, PLLC
Practice address
6305 Castle PL Ste 2a
Falls Church, VA 22044-1905
Phone
(703) 283-0346
NPI assigned
Jan 12, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2019

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

Authorized official

Name
Mr. Roy Wilensky, PSYD
Title
Owner
Phone
(703) 283-0346

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

6305 Castle PL Ste 2a
Falls Church, VA 22044-1905

Mailing address

6305 Castle PL Ste 2a
Falls Church, VA 22044-1905

Other identifiers 1

IdentifierTypeStateIssuer
1356358006OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

6305 Castle Pl
Ste 2A
Falls Church, VA 22044
Phone (703) 283-0346

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547251200000",
    "number": "1407320526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PL STE 2A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 CASTLE PL STE 2A",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220441905",
            "telephone_number": "703-283-0346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROY WILENSKY, PSYD, LCP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-01-12",
        "status": "A",
        "authorized_official_last_name": "WILENSKY",
        "authorized_official_first_name": "ROY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-283-0346",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356358006",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; 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.