Active NPI
Robert Fox Vernon, PH.D.
- Counseling Psychologist
- Alexandria, VA
National Provider Identifier
1649562844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 0810004608
- Practice address
- 108A S Columbus St
Alexandria, VA 22314-3051 - Phone
- (703) 957-5778
- Fax
- (978) 477-5634
- NPI assigned
- May 5, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 0810004608 | Primary |
Addresses
Primary practice location
108A S Columbus St
Alexandria, VA 22314-3051
Mailing address
108A S Columbus St
Alexandria, VA 22314-3051
Phone (703) 957-5778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438732800000",
"number": "1649562844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108A S COLUMBUS ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143051",
"telephone_number": "703-957-5778",
"fax_number": "978-477-5634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108A S COLUMBUS ST",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223143051",
"telephone_number": "703-957-5778",
"fax_number": "978-477-5634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERNON",
"first_name": "ROBERT",
"middle_name": "FOX",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-05-05",
"last_updated": "2015-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": null,
"license": "0810004608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.