Lee Wong-Holland, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004944 Issued in VA

Practice address

20576 Blue Water CT
Ashburn, VA 20147-7920

Phone

(703) 608-3629

NPI assigned

Aug 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Grace Health LLC

  • Psychologist
  • Chantilly, VA
  • NPI 1083591796
  NPD (past)
• Mindwell Psychology

  • Psychologist
  • Chantilly, VA
  • NPI 1750581955
  NPD (past)

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

{
    "created_epoch": "1251331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1710110424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019B EDWARDS FERRY RD NE # 1042",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201763347",
            "telephone_number": "703-662-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20576 BLUE WATER CT",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477920",
            "telephone_number": "703-608-3629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONG-HOLLAND",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-27",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Imani Willis
• Willow Psychiatry Limited
• Jason Shane Wilson, PHARMD
• Melissa Joi Wisner, M.D.
• Stephen Alan Wohlgemuth, M.D.
• Joselyn Victoria Wong
• Margaret M Wong, PHD
• Valerie V. Woo, DMD
• Patricia Arteaga Wood, D.D.S.
• Annalyse Grace Woron

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.