Individual provider Active NPI

Harvey Roy Oaklander, PH.D.

  • Clinical Psychologist
  • Fairfax, VA
National Provider Identifier
1659377448
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810000698 Issued in VA
Practice address
9805 Dansk CT
Fairfax, VA 22032-1730
Phone
(703) 323-8558
Fax
(703) 425-8010
NPI assigned
Jun 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 0810000698 VA Primary

Addresses

Primary practice location

9805 Dansk CT
Fairfax, VA 22032-1730

Mailing address

9805 Dansk CT
Fairfax, VA 22032-1730
Phone (703) 323-8558

Other identifiers 1

IdentifierTypeStateIssuer
7775903MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923000543 DC Practitioner - Clinical Psychologist 2365568722 Practice locations: Fairfax, VA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

9805 Dansk CT
Fairfax, VA 22032-1730
Phone (703) 323-8558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810000698VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1119744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1659377448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 DANSK CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321730",
            "telephone_number": "703-323-8558",
            "fax_number": "703-425-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9805 DANSK CT",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220321730",
            "telephone_number": "703-323-8558",
            "fax_number": "703-425-8010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OAKLANDER",
        "first_name": "HARVEY",
        "middle_name": "ROY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-26",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7775903",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.