Active NPI
Cleopatra Lightfoot-Booker
- Psychologist
- Mechanicsville, VA
National Provider Identifier
1497579411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810005222
- Practice address
- 9612 Cavalin CT
Mechanicsville, VA 23116-3980 - Phone
- (804) 909-1558
- NPI assigned
- Nov 15, 2024
- 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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810005222 | VA | Primary |
Addresses
Primary practice location
9612 Cavalin CT
Mechanicsville, VA 23116-3980
Mailing address
9612 Cavalin CT
Mechanicsville, VA 23116-3980
Phone (804) 909-1558
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005222 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1497579411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9612 CAVALIN CT",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231163980",
"telephone_number": "804-909-1558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9612 CAVALIN CT",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231163980",
"telephone_number": "804-909-1558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTFOOT-BOOKER",
"first_name": "CLEOPATRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-15",
"last_updated": "2025-09-11",
"certification_date": "2024-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810005222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.