Tessa Victoria Ruby Smith, MA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

08100009181 Issued in VA

Practice address

5691 Columbia Pike Ste 200
Falls Church, VA 22041-2888

Phone

(240) 583-0529

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766275200000",
    "number": "1619689189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5691 COLUMBIA PIKE STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412888",
            "telephone_number": "240-583-0529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5691 COLUMBIA PIKE STE 200",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220412888",
            "telephone_number": "240-583-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TESSA",
        "middle_name": "VICTORIA RUBY",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2025-12-21",
        "certification_date": "2025-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "08100009181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Cromwell Smith, FNP
• Kirsten Smith, FNP
• Krista Smith
• Rahsaan Cain Smith, MD
• Ronald Earl Smith, MD
• SMK Therapy, LLC
• Natasha M Smook, PT, DPT
• Charles Alan Sneiderman, M.D.
• Hope Snively, OD
• Emily Snoad, AGACNP-BC

• Clinical Psychologist in Falls Church, VA
• Providers in Falls Church, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 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.

Verify at the official NPI Registry.