Individual provider Active NPI

Chris Loftis, PHD, PMP

  • Psychologist
  • Arlington, VA
National Provider Identifier
1639615826
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
PSY1000527 Issued in VA
Practice address
4250 N. Fairfax Drive
Suite 600 #4777
Arlington, VA 22203
Phone
(202) 681-5357
NPI assigned
Jan 11, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PSY1000527 VA Primary

Addresses

Primary practice location

4250 N. Fairfax Drive
Suite 600 #4777
Arlington, VA 22203

Mailing address

9480 Main St # 1018
Fairfax, VA 22031-4032
Phone (703) 519-6186

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY1000527VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1639615826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9480 MAIN ST # 1018",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314032",
            "telephone_number": "703-519-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4250 N. FAIRFAX DRIVE",
            "address_2": "SUITE 600 #4777",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "22203",
            "telephone_number": "202-681-5357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFTIS",
        "first_name": "CHRIS",
        "name_prefix": "Dr.",
        "credential": "PHD, PMP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "PSY1000527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.