Individual provider Active NPI

Leslie Ann Hawkins, PSY.D

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1477833168
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004457 Issued in VA
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

Updated by the provider on Jul 21, 2022

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 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

IdentifierTypeStateIssuer
1366591562MedicaidVA

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

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.