Individual provider Active NPI

Jason B Epstein, PSY.D.

  • Clinical Psychologist
  • Woodbridge, VA
National Provider Identifier
1740388610
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003560 Issued in VA
Practice address
13895 Hedgewood Dr Ste 313
Woodbridge, VA 22193-7927
Phone
(703) 389-1931
Fax
(703) 580-4642
NPI assigned
Sep 21, 2006
Last updated
May 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810003560 VA Primary

Addresses

Primary practice location

13895 Hedgewood Dr Ste 313
Woodbridge, VA 22193-7927

Mailing address

13895 Hedgewood Dr Ste 313
Woodbridge, VA 22193-7927
Phone (703) 389-1931

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060413000103 VA Practitioner - Clinical Psychologist 4385637859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10432 Balls Ford Rd
Suite 300
Manassas, VA 20109-2517
Phone (703) 389-1931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810003560VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nova Counseling and Psychological Services, LLC Clinical CurrentSince May 18, 2015 Accepting new patients
Chapman Senior Care, Inc. Clinical PastSince Apr 9, 2011 Accepting new patients

Locations

10432 Balls Ford Rd
Ste 300
Manassas, VA 20109
Phone (571) 229-8708

13895 Hedgewood Dr
Ste 313
Woodbridge, VA 22193
Phone (703) 389-1931

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1740388610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13895 HEDGEWOOD DR STE 313",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937927",
            "telephone_number": "703-389-1931",
            "fax_number": "703-580-4642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13895 HEDGEWOOD DR STE 313",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221937927",
            "telephone_number": "703-389-1931",
            "fax_number": "703-580-4642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EPSTEIN",
        "first_name": "JASON",
        "middle_name": "B",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-21",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.