Active NPI
Alison Ann Fedio, PH.D., PSY.D.
- Clinical Neuropsychologist
- Burke, VA
National Provider Identifier
1629381793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810003682
- 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, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alison a. Fedio, PH.D., Psy.D., LLC | Clinical | Current | Accepting new patients |
| Neuropsychology at Burke, LLC | Clinical Neuropsychologist | Past | 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.
-
dba Burke NeuroPsychological Services
- Clinical Psychologist
- Gallatin, TN
- NPI 1184429052
-
- Clinical Neuropsychologist
- Burke, VA
- NPI 1750698239
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.