Active NPI
Christina H Wynn, PSYD
- Clinical Child & Adolescent Psychologist
- Falls Church, VA
National Provider Identifier
1477785202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Child & Adolescent Psychologist
- License
- 0810004532
- Practice address
- 6063 Arlington Blvd
Falls Church, VA 22044-2721 - Phone
- (703) 239-4445
- NPI assigned
- Aug 12, 2009
- Last updated
- Dec 3, 2012
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | 0810004532 | VA | |
| Clinical Psychologist | 103TC0700X | 0810004532 | VA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0810004532 | VA | Primary |
| Family Psychologist | 103TF0000X | 0810004532 | VA | |
| Health Psychologist | 103TH0004X | 0810004532 | VA |
Addresses
Primary practice location
6063 Arlington Blvd
Falls Church, VA 22044-2721
Mailing address
4189 S Four Mile Run Dr
Unit 303
Arlington, VA 22204-3936
Phone (202) 256-7954
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 25, 2025 through Feb 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004532 | VA | MD | Health Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354492800000",
"number": "1477785202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4189 S FOUR MILE RUN DR",
"address_2": "UNIT 303",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222043936",
"telephone_number": "202-256-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6063 ARLINGTON BLVD",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220442721",
"telephone_number": "703-239-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WYNN",
"first_name": "CHRISTINA",
"middle_name": "H",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-12",
"last_updated": "2012-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "VA",
"license": "0810004532",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004532",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "0810004532",
"primary": true
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "VA",
"license": "0810004532",
"primary": false
},
{
"code": "103TH0004X",
"taxonomy_group": "",
"desc": "Psychologist, Health",
"state": "VA",
"license": "0810004532",
"primary": false
}
],
"identifiers": [],
"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 Dec 3, 2012; 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.