Individual provider Active NPI

Rebecca Sue Isenhower, PSY.D.

  • Psychologist
  • Winchester, VA
National Provider Identifier
1679667216
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810003609 Issued in VA
Practice address
174 Costello Drive
Winchester, VA 22602
Phone
(540) 662-7007
Fax
(540) 662-1311
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810003609 VA Primary

Addresses

Primary practice location

174 Costello Drive
Winchester, VA 22602

Mailing address

2185 Welltown Road
Clearbrook, VA 22624-1657
Phone (540) 667-7605

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

LicenseStateTypeSpecialty
0810003609VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1679667216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2185 WELLTOWN ROAD",
            "city": "CLEARBROOK",
            "state": "VA",
            "postal_code": "226241657",
            "telephone_number": "540-667-7605",
            "fax_number": "540-662-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "174 COSTELLO DRIVE",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22602",
            "telephone_number": "540-662-7007",
            "fax_number": "540-662-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISENHOWER",
        "first_name": "REBECCA",
        "middle_name": "SUE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810003609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.