Active NPI
Ka Yan Danise Mok, PH.D.
- Psychologist
- Arlington, VA
National Provider Identifier
1457136244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810007376
- Practice address
- 2300 Wilson Blvd. Ste 700 #1061
Arlington, VA 22201 - Phone
- (202) 780-5060
- NPI assigned
- Aug 29, 2023
- Sex
- Female
- Sole proprietor
- No
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 | PSY1001662 | DC | |
| Psychologist | 103T00000X | 0810007376 | VA | Primary |
Addresses
Primary practice location
2300 Wilson Blvd. Ste 700 #1061
Arlington, VA 22201
Mailing address
2300 Wilson Blvd. Ste 700 #1061
Arlington, VA 22201
Phone (202) 780-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001662 | DC | MD | Psychologist |
| 0810007376 | VA | MD | Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Incandescent Psychological Services LLC | Psychologist | Current | Accepting new patients |
Locations
2300 Wilson Blvd
Ste 700
Arlington, VA 22201
Phone (301) 323-5442
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 and National Provider Directory roles.
-
- Psychologist
- Arlington, VA
- NPI 1255116042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693353600000",
"number": "1457136244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 WILSON BLVD. STE 700 #1061",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22201",
"telephone_number": "202-780-5060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 WILSON BLVD. STE 700 #1061",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "22201",
"telephone_number": "202-780-5060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOK",
"first_name": "KA YAN DANISE",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-29",
"last_updated": "2023-08-30",
"certification_date": "2023-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "DC",
"license": "PSY1001662",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810007376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.