Active NPI
Michelle Rad, LCP, PSYD, MA
- Clinical Psychologist
- Ashburn, VA
National Provider Identifier
1720459746
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005315
- Practice address
- 43803 Michener Dr
Ashburn, VA 20147-5807 - Phone
- (703) 443-4924
- NPI assigned
- Oct 16, 2015
- 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 | 0810005315 | VA | Primary |
Addresses
Primary practice location
43803 Michener Dr
Ashburn, VA 20147-5807
Mailing address
43803 Michener Dr
Ashburn, VA 20147-5807
Phone (443) 937-3183
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0810005315 | Other | VA | LICENSED CLINICAL PSYCHOLOGIST, VA BOARD OF PSYCHOLOGY |
Other names 1
- Dr. Michelle Rad
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Evidence Based Consultation LLC Ebc | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Ashburn, VA
- NPI 1639783574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777334400000",
"number": "1720459746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43803 MICHENER DR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475807",
"telephone_number": "443-937-3183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43803 MICHENER DR",
"city": "ASHBURN",
"state": "VA",
"postal_code": "201475807",
"telephone_number": "703-443-4924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAD",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "LCP, PSYD, MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-16",
"last_updated": "2026-04-28",
"certification_date": "2026-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005315",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED CLINICAL PSYCHOLOGIST, VA BOARD OF PSYCHOLOGY",
"identifier": "0810005315",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "RAD",
"prefix": "DR.",
"credential": "LCP, PSYD, MA, APIT",
"code": "2",
"type": "Professional Name"
}
]
}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 Apr 28, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.