Fred Pisoni, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004136 Issued in VA

Practice address

6832 Old Dominion Dr Ste 200
MC Lean, VA 22101-3827

Phone

(703) 750-3518

NPI assigned

Aug 23, 2011

Last updated

Jul 1, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lager Psychological SVCS

  • Clinical Psychologist
  • McLean, VA
  • NPI 1508876426
  NPD (past)
• McLean Psychiatric Services LLC

  • Psychiatry Physician
  • McLean, VA
  • NPI 1093194821
  NPD (past)

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

{
    "created_epoch": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341100800000",
    "number": "1609156504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 OLD DOMINION DR STE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013827",
            "telephone_number": "703-750-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 OLD DOMINION DR STE 200",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013827",
            "telephone_number": "703-750-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISONI",
        "first_name": "FRED",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2012-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudette Adrienne Pilger, PSY.D.
• Terri Pilkerton, MAED, NCC
• Bradley Pink, DPT
• Beth Ann Pippin, FNP-BC
• Salimah Pirmohamed
• Denise Mary Pitkin-Tilson
• Barbara Pizarro
• Kathryn Marie Plamondon
• Plastic Surgery Associates PC
• Karlyn Elizabeth Pollack, MD

• Clinical Psychologist in McLean, VA
• Providers in McLean, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.

Verify at the official NPI Registry.