Individual provider Active NPI

Julia Buch Wamstad, PSY.D.

  • Clinical Psychologist
  • Falls Church, VA
National Provider Identifier
1629493499
Registry record updated Mar 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004221 Issued in VA
Practice address
7700 Leesburg Pike
Suite 404
Falls Church, VA 22043-2615
Phone
(703) 679-8378
NPI assigned
Mar 3, 2014
Last updated
Mar 3, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2014

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 0810004221 VA Primary

Addresses

Primary practice location

7700 Leesburg Pike
Suite 404
Falls Church, VA 22043-2615

Mailing address

7700 Leesburg Pike
Suite 404
Falls Church, VA 22043-2615
Phone (703) 679-8378

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 9, 2023 through Mar 9, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810004221VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1393804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393804800000",
    "number": "1629493499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "SUITE 404",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-679-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "SUITE 404",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-679-8378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAMSTAD",
        "first_name": "JULIA",
        "middle_name": "BUCH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-03",
        "last_updated": "2014-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Falls Church, VA

Sources for this page

Verify at the official NPI Registry.