Organization Active NPI

Neuropsychological and Psychological Services, P.C.

  • Clinical Neuropsychologist
  • Alexandria, VA
National Provider Identifier
1740363415
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810001828 Issued in VA
Legal business name
NEUROPSYCHOLOGICAL AND PSYCHOLOGICAL SERVICES, P.C.
Practice address
600 Cameron St # 307
Alexandria, VA 22314-2506
Phone
(703) 283-3325
Fax
(571) 418-0078
NPI assigned
Oct 24, 2006
Last updated
Apr 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Authorized official

Name
Dr. Alec Andrew Lebedun, PH.D.NPI 1154441699
Title
President
Phone
(703) 283-3325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810001828 VA Primary

Addresses

Primary practice location

600 Cameron St # 307
Alexandria, VA 22314-2506

Mailing address

600 Cameron St # 307
Alexandria, VA 22314-2506
Phone (703) 283-3325

Other identifiers 1

IdentifierTypeStateIssuer
B570OtherVACARE FIRST BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041006000439 DC Part B Supplier - Clinic/Group Practice 3870552805 Practice locations: Alexandria, VA

National Provider Directory

National Provider Directory

Locations

600 Cameron St
#307
Alexandria, VA 22314
Phone (703) 283-3325

600 Cameron St
Ste 307
Alexandria, VA 22314
Phone (703) 283-3325

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1740363415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CAMERON ST # 307",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142506",
            "telephone_number": "703-283-3325",
            "fax_number": "571-418-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 CAMERON ST # 307",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142506",
            "telephone_number": "703-283-3325",
            "fax_number": "571-418-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROPSYCHOLOGICAL AND PSYCHOLOGICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "LEBEDUN",
        "authorized_official_first_name": "ALEC",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-283-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810001828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST BLUE CROSS",
            "identifier": "B570",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.