Individual provider Active NPI

Melissa Rafferty Van Scoy, PHD

  • Clinical Psychologist
  • Burke, VA
National Provider Identifier
1659229094
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
40158 Issued in TX
Practice address
5244 Lyngate CT Ste 200
Burke, VA 22015-1631
Phone
(703) 910-2577
Fax
(703) 661-9463
NPI assigned
Mar 20, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

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 40158 TX Primary

Addresses

Primary practice location

5244 Lyngate CT Ste 200
Burke, VA 22015-1631

Mailing address

5244 Lyngate CT Ste 200
Burke, VA 22015-1631
Phone (703) 910-2577

Other names 1

  • Melissa Rafferty Former name

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
40158TXMDSpeech-Language Assistant

NPI Registry JSON

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

{
    "created_epoch": "1773964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1659229094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE CT STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-910-2577",
            "fax_number": "703-661-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5244 LYNGATE CT STE 200",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220151631",
            "telephone_number": "703-910-2577",
            "fax_number": "703-661-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCOY",
        "first_name": "MELISSA",
        "middle_name": "RAFFERTY",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "40158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELISSA",
            "last_name": "RAFFERTY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Mar 24, 2026; 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.