Evidence Based Consultation LLC Ebc

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EVIDENCE BASED CONSULTATION LLC EBC

Practice address

43803 Michener Dr
Ashburn, VA 20147-5807

Phone

(703) 443-4924

Fax

(703) 775-1560

NPI assigned

Sep 8, 2020

Last updated

May 18, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SELF KNOWLEDGE BASE AND FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Dr. Michelle R Rad, LCP, PSYD, MA, APITNPI 1720459746

Title

Founder, President

Phone

(443) 937-3183

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Part of

Self Knowledge Base and Foundation

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Self Knowledge Base and Foundation

  • Clinical Psychologist
  • Ashburn, VA
  • NPI 1780467993
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Rad, LCP, PSYD, MA

  • Clinical Psychologist
  • Ashburn, VA
  • NPI 1720459746
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1639783574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43803 MICHENER DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475807",
            "telephone_number": "443-937-3183",
            "fax_number": "571-999-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43803 MICHENER DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475807",
            "telephone_number": "703-443-4924",
            "fax_number": "703-775-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVIDENCE BASED CONSULTATION LLC EBC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SELF KNOWLEDGE BASE AND FOUNDATION",
        "enumeration_date": "2020-09-08",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "RAD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER, PRESIDENT",
        "authorized_official_telephone_number": "443-937-3183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCP, PSYD, MA, APIT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marlon Espinoza-Mendoza
• Estela Pena, DDS, LLC
• Larijean Estrada-Brooks, DPT, CLT
• India Evans
• Everease LLC
• Evolution Behavioral Health Services, LLC
• Madison Lee Fagan
• Neveen Fahmy
• Fairfax Family Practice Centers PC (Broadlands Family Practice)
• Olawunmi Fajobi

• Clinical Psychologist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.