Individual provider Active NPI

Sally Singer Horwatt, PH.D.

  • Clinical Psychologist
  • Reston, VA
National Provider Identifier
1609945583
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000918 Issued in VA
Practice address
1800 Town Center Dr
Suite 216
Reston, VA 20190-3238
Phone
(703) 435-4741
Fax
(703) 435-5881
NPI assigned
Nov 7, 2006
Sex
Female
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 0810000918 VA Primary

Addresses

Primary practice location

1800 Town Center Dr
Suite 216
Reston, VA 20190-3238

Mailing address

1800 Town Center Drive
Suite 216
Reston, VA 20190-3238
Phone (703) 435-4741

Other identifiers 3

IdentifierTypeStateIssuer
73747596OtherVAUNITED BEHAVIORAL HEALTH
4602666OtherVAAETNA
B386OtherDCGHMSI

Other names 1

  • Ms. Sally Singer Brodsky Other name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810000918VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Sally Singer Horwatt, PH.D., PC Clinical Past Accepting new patients

Organizations & group practices 1

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609945583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DRIVE",
            "address_2": "SUITE 216",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903238",
            "telephone_number": "703-435-4741",
            "fax_number": "703-435-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 TOWN CENTER DR",
            "address_2": "SUITE 216",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201903238",
            "telephone_number": "703-435-4741",
            "fax_number": "703-435-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORWATT",
        "first_name": "SALLY",
        "middle_name": "SINGER",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "73747596",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4602666",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMSI",
            "identifier": "B386",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLY",
            "last_name": "BRODSKY",
            "middle_name": "SINGER",
            "prefix": "MS.",
            "credential": "PH.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Reston, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.