Active NPI
Elisabeth Varkiani
- Clinical Psychologist
- MC Lean, VA
National Provider Identifier
1669990677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810006316
- Practice address
- 8200 Greensboro Dr Ste 900
MC Lean, VA 22102-4931 - Phone
- (703) 621-1400
- Fax
- (703) 771-0170
- NPI assigned
- Aug 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810006316 | VA | Primary |
Addresses
Primary practice location
8200 Greensboro Dr Ste 900
MC Lean, VA 22102-4931
Mailing address
102 Heritage Way NE Suite 302
Leesburg, VA 20177-7400
Phone (703) 771-5100
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810006316 | VA | MD | Clinical Psychologist |
Interoperability endpoints
- granatogroup.elisabethvarkiani@144557.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680134400000",
"number": "1669990677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 HERITAGE WAY NE SUITE 302",
"city": "LEESBURG",
"state": "VA",
"postal_code": "201777400",
"telephone_number": "703-771-5100",
"fax_number": "703-771-0170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8200 GREENSBORO DR STE 900",
"city": "MC LEAN",
"state": "VA",
"postal_code": "221024931",
"telephone_number": "703-621-1400",
"fax_number": "703-771-0170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARKIANI",
"first_name": "ELISABETH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2023-03-30",
"certification_date": "2023-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810006316",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in MC Lean, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.