Individual provider Active NPI

Alison Ann Fedio, PH.D., PSY.D.

  • Clinical Neuropsychologist
  • Burke, VA
National Provider Identifier
1629381793
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810003682 Issued in VA
Practice address
8996 Burke Lake Road
Suite 100
Burke, VA 22015-1946
Phone
(703) 978-9781
Fax
(703) 426-4223
NPI assigned
Jul 19, 2010
Last updated
Oct 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810003682 VA Primary
Clinical Psychologist 103TC0700X 0810003682 VA

Addresses

Primary practice location

8996 Burke Lake Road
Suite 100
Burke, VA 22015-1946

Mailing address

9408 Raintree Rd
Burke, VA 22015-1946
Phone (703) 309-6004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120927000048 DC Practitioner - Clinical Psychologist 2961651476 Practice locations: Burke, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8996 Burke Lake Rd
Suite 100
Burke, VA 22015-1946
Phone (703) 978-9781

9408 Raintree Rd
Burke, VA 22015-1946

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Alison a. Fedio, PH.D., Psy.D., LLC Clinical CurrentSince Apr 14, 2012 Accepting new patients
Neuropsychology at Burke, LLC Clinical Neuropsychologist PastSince Oct 25, 2020 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1629381793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 RAINTREE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151946",
            "telephone_number": "703-309-6004",
            "fax_number": "703-426-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8996 BURKE LAKE ROAD",
            "address_2": "SUITE 100",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151946",
            "telephone_number": "703-978-9781",
            "fax_number": "703-426-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDIO",
        "first_name": "ALISON",
        "middle_name": "ANN",
        "credential": "PH.D., PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810003682",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003682",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burke, VA

Sources for this page

Verify at the official NPI Registry.