Active NPI
Afshin Max Nili, PSY.D.
- Clinical Psychologist
- Arlington, VA
National Provider Identifier
1750506408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810003652
- Practice address
- 3801 Fairfax Dr
Suite 53
Arlington, VA 22203-1762 - Phone
- (202) 276-8280
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810003652 | VA | Primary |
| Clinical Psychologist | 103TC0700X | 04432 | MD | |
| Clinical Psychologist | 103TC0700X | PSY1000449 | DC |
Addresses
Primary practice location
3801 Fairfax Dr
Suite 53
Arlington, VA 22203-1762
Mailing address
3208 Blueford Rd
Kensington, MD 20895-2902
Phone (202) 276-8280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 269199 | Other | VA | ANTHEM H K |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1000449 | DC | MD | Clinical Psychologist |
| 04432 | MD | MD | Clinical Psychologist |
| 0810003652 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1477526400000",
"number": "1750506408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3208 BLUEFORD RD",
"city": "KENSINGTON",
"state": "MD",
"postal_code": "208952902",
"telephone_number": "202-276-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 FAIRFAX DR",
"address_2": "SUITE 53",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222031762",
"telephone_number": "202-276-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NILI",
"first_name": "AFSHIN",
"middle_name": "MAX",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2016-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810003652",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "MD",
"license": "04432",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1000449",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM H K",
"identifier": "269199",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
- Kelly Marie Nieman, LPC
- Mariana Julia Niemtzoff, MD
- Judith Anne Niemyer, M.D.
- Anne Niez, M.S., CCC-SLP
- Fritz Atanga Nih
- Nevada Nilsson, DPT
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- Robert P. Nirschl, M.D.
- Mary Cathleen Nishimura, M.D.
- Victor Gituma Njogu, PHARMACY TECHNICIAN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.