Bradford West Applegate, PH.D.
Individual provider Active NPI Clinical Psychologist · Ashburn, VA
NPI 1659518538 · NPPES record last updated Sep 23, 2025
Key facts
- NPI
- 1659518538
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810003665 (VA)
- Practice address
- 44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515 - Phone
- (703) 723-2999
- NPI assigned
- Jan 14, 2009
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 10, 2025 through Nov 10, 2027
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810003665 | VA | MD | Clinical Psychologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003665 | VA | Yes |
Addresses
Primary practice location
44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515
Mailing address
44095 Pipeline PLZ Ste 240
Ashburn, VA 20147-7515
Phone (703) 723-2999
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All providers in Ashburn, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 23, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.