Active NPI
Leslie Ann Hawkins, PSY.D
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1477833168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004457
- Practice address
- 9840 Main St Ste 201
Fairfax, VA 22031-3909 - Phone
- (703) 547-3509
- NPI assigned
- Aug 25, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004457 | VA | Primary |
Addresses
Primary practice location
9840 Main St Ste 201
Fairfax, VA 22031-3909
Mailing address
6003 Terrapin PL
Alexandria, VA 22310-5443
Phone (757) 718-3613
Other practice location 1
50 Irving St NW
Polytrauma Clinic, 117
Washington, DC 20422-0001
Phone (202) 745-8000 ext. 55694
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366591562 | Medicaid | VA |
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hawkins Psychological Services LLC | Clinical | Current | Accepting new patients |
| Rubino and Reynolds Psychology Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Burke, VA
- NPI 1710460084
-
- Contractor
- Fairfax, VA
- NPI 1629513957
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1477833168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6003 TERRAPIN PL",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223105443",
"telephone_number": "757-718-3613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9840 MAIN ST STE 201",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220313909",
"telephone_number": "703-547-3509"
}
],
"practiceLocations": [
{
"address_1": "50 Irving St NW",
"address_2": "Polytrauma Clinic, 117",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "204220001",
"country_code": "US",
"telephone_number": "202-745-8000 x55694",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAWKINS",
"first_name": "LESLIE",
"middle_name": "ANN",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004457",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366591562",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.