Jane Annunziata Vandenbos, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001397 Issued in VA

Practice address

6842 Elm St
Suite 104
McLean, VA 22101-3891

Phone

(703) 827-8268

Fax

(703) 356-3461

NPI assigned

May 20, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Jane Annunziata Professional name

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

Yes, effective Jan 1, 2011 through Jan 1, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1679781736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 ESQUIRE LN",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221014754",
            "telephone_number": "703-734-1431",
            "fax_number": "703-356-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST",
            "address_2": "SUITE 104",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221013891",
            "telephone_number": "703-827-8268",
            "fax_number": "703-356-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBOS",
        "first_name": "JANE",
        "middle_name": "ANNUNZIATA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001397",
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810001397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANE",
            "last_name": "ANNUNZIATA",
            "prefix": "DR.",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Utopia Psychological Services
• Kowshik R Vaddi, D.M.D
• Racquel Valadez
• Farnaz Valaei, DDS, MD
• Jenna Elizabeth Valania, AU.D.
• Courtney Patricia Vanwie, DPT
• Kuljinder Varaitch, PMHNP
• Karin R Varblow, M.D.
• Kevin Gregory Vargo
• Elisabeth Varkiani

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.