Individual provider Active NPI

Dana R. Lipsky, PSY.D.

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1669712857
Registry record updated Jun 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004504 Issued in VA
Practice address
2000 15TH St N
Suite G2-100
Arlington, VA 22201-2683
Phone
(703) 831-6008
NPI assigned
Feb 25, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004504 VA Primary
Clinical Psychologist 103TC0700X 04903 MD

Addresses

Primary practice location

2000 15TH St N
Suite G2-100
Arlington, VA 22201-2683

Mailing address

2000 15TH St N
Suite G2-100
Arlington, VA 22201-2683
Phone (703) 831-6008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 23, 2023 through Mar 23, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810004504VAMDClinical Psychologist
04903MDMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metropolitan Psychological Services PLLC Clinical Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465603200000",
    "number": "1669712857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N",
            "address_2": "SUITE G2-100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012683",
            "telephone_number": "703-831-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 15TH ST N",
            "address_2": "SUITE G2-100",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222012683",
            "telephone_number": "703-831-6008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIPSKY",
        "first_name": "DANA",
        "middle_name": "R.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-25",
        "last_updated": "2016-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004504",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MD",
            "license": "04903",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.