Individual provider Active NPI

Aislinn Marie Moss, PSYD

  • Clinical Psychologist
  • Alexandria, VA
National Provider Identifier
1619744745
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810008296 Issued in VA
Practice address
1221 King St
Alexandria, VA 22314-2926
Phone
(571) 478-9499
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 0810008296 VA Primary

Addresses

Primary practice location

1221 King St
Alexandria, VA 22314-2926

Mailing address

7713 Newcastle Dr
Annandale, VA 22003-5425
Phone (301) 792-4734

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective May 8, 2025 through May 8, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810008296VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Old Town Psychology Clinical CurrentSince Dec 10, 2023 Accepting new patients

Locations

1221 King St
Alexandria, VA 22314
Phone (571) 478-9499

107 S West St
Alexandria, VA 22314
Phone (571) 305-0400

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": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1619744745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7713 NEWCASTLE DR",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220035425",
            "telephone_number": "301-792-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 KING ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142926",
            "telephone_number": "571-478-9499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSS",
        "first_name": "AISLINN",
        "middle_name": "MARIE",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.