Individual provider Active NPI

Neil Makstein, PH.D.

  • Clinical Psychologist
  • Falls Church, VA
National Provider Identifier
1508075052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1280 Issued in VA
Practice address
7700 Leesburg Pike
Suite 406
Falls Church, VA 22043-2615
Phone
(703) 560-0055
NPI assigned
May 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1280 VA Primary

Addresses

Primary practice location

7700 Leesburg Pike
Suite 406
Falls Church, VA 22043-2615

Mailing address

7700 Leesburg Pike
Suite 406
Falls Church, VA 22043-2615
Phone (703) 560-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 3, 2025 through Sep 3, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1280VAMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508075052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "SUITE 406",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-560-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "SUITE 406",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-560-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAKSTEIN",
        "first_name": "NEIL",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "1280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.