Individual provider Active NPI

Devika Fiorillo, PHD

  • Clinical Psychologist
  • Tysons, VA
National Provider Identifier
1437693397
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005479 Issued in VA
Practice address
8027 Leesburg Pike
Suite 304
Tysons, VA 22182-2701
Phone
(703) 674-6225
NPI assigned
Dec 12, 2016
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810005479 VA Primary

Addresses

Primary practice location

8027 Leesburg Pike
Suite 304
Tysons, VA 22182-2701

Mailing address

8027 Leesburg Pike
Suite 304
Tysons, VA 22182-2701
Phone (703) 674-6225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 23, 2024 through Sep 23, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810005479VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tysons Psychology, PLLC Clinical Past Accepting new patients

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": "1481500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1437693397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8027 LEESBURG PIKE",
            "address_2": "SUITE 304",
            "city": "TYSONS",
            "state": "VA",
            "postal_code": "221822701",
            "telephone_number": "703-674-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8027 LEESBURG PIKE",
            "address_2": "SUITE 304",
            "city": "TYSONS",
            "state": "VA",
            "postal_code": "221822701",
            "telephone_number": "703-674-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIORILLO",
        "first_name": "DEVIKA",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tysons, VA

Sources for this page

Verify at the official NPI Registry.