Active NPI
Taleen Avedisian, PSYD
- Clinical Psychologist
- Ashburn, VA
National Provider Identifier
1457229106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810009109
- Practice address
- 44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515 - Phone
- (703) 346-7470
- NPI assigned
- Oct 24, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810009109 | VA | Primary |
Addresses
Primary practice location
44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515
Mailing address
8370 Greensboro Dr Unit 425
MC Lean, VA 22102-3516
Phone (703) 346-7470
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 27, 2025 through Oct 27, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810009109 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761264000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761264000000",
"number": "1457229106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8370 GREENSBORO DR UNIT 425",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221023516",
"telephone_number": "703-346-7470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44095 PIPELINE PLZ STE 240",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201477515",
"telephone_number": "703-346-7470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVEDISIAN",
"first_name": "TALEEN",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-10-24",
"last_updated": "2025-10-24",
"certification_date": "2025-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810009109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.