LSN Psychological Services, LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005240 Issued in VA

Legal business name

LSN PSYCHOLOGICAL SERVICES, LLC

Practice address

1900 Campus Commons Dr
Suite 100
Reston, VA 20191-1561

Phone

(703) 677-8633

NPI assigned

Feb 8, 2017

Last updated

Feb 8, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Leslie Erin Stelljes Nanson, PSYDNPI 1134538655

Title

Director

Phone

(703) 677-8633

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Leslie Erin Stelljes Nanson, PSY.D.

  • Clinical Psychologist
  • Reston, VA
  • NPI 1134538655
  NPD (past) Authorized official

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

{
    "created_epoch": "1486512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486512000000",
    "number": "1619415817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11760 SUNRISE VALLEY DR",
            "address_2": "APT 814",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911411",
            "telephone_number": "703-677-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CAMPUS COMMONS DR",
            "address_2": "SUITE 100",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201911561",
            "telephone_number": "703-677-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LSN PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-08",
        "last_updated": "2017-02-08",
        "status": "A",
        "authorized_official_last_name": "STELLJES NANSON",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ERIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-677-8633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005240",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura M. Luna, PHD
• Alexandra Lutz

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2017; 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.