Active NPI
Ashley Decamp, PSYD
- Clinical Psychologist
- Ashburn, VA
National Provider Identifier
1699125930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005448
- Practice address
- 21001 Sycolin Rd
Suite 360
Ashburn, VA 20147-4073 - Phone
- (703) 858-7838
- NPI assigned
- Jun 17, 2016
- Sex
- Female
- Sole proprietor
- No
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 | 0810005448 | VA | Primary |
Addresses
Primary practice location
21001 Sycolin Rd
Suite 360
Ashburn, VA 20147-4073
Mailing address
21001 Sycolin Rd
Suite 360
Ashburn, VA 20147-4073
Phone (703) 858-7838
Medicare participation
Medicare enrollment files- 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
- Opted out of Medicare
- Yes, effective Jun 9, 2026 through Jun 9, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005448 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546905600000",
"number": "1699125930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21001 SYCOLIN RD",
"address_2": "SUITE 360",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474073",
"telephone_number": "703-858-7838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21001 SYCOLIN RD",
"address_2": "SUITE 360",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201474073",
"telephone_number": "703-858-7838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DECAMP",
"first_name": "ASHLEY",
"credential": "PSYD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-17",
"last_updated": "2019-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashburn, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2019; 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.