David C. Bissette, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002254 Issued in VA

Practice address

2121 Eisenhower Ave
Suite #402
Alexandria, VA 22314-4698

Phone

(703) 705-6161

Fax

(703) 684-0046

NPI assigned

Sep 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Opted out of Medicare

Previously, effective Oct 1, 2016 through Oct 1, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1669573036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE",
            "address_2": "SUITE #402",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144698",
            "telephone_number": "703-705-6161",
            "fax_number": "703-684-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 EISENHOWER AVE",
            "address_2": "SUITE #402",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223144698",
            "telephone_number": "703-705-6161",
            "fax_number": "703-684-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISSETTE",
        "first_name": "DAVID",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marion Colman Bissell, MD
• BJ Homecare
• BJ's Wholesale Club Inc.
• BJN Home Healthcare Inc (A @ K Home Health Agency)
• BJS Wholesale Club Inc (BJS Pharmacy)
• Meredith Black, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.