Individual provider Active NPI

Lindsey Keller Berjansky, PSYD

  • Clinical Psychologist
  • Ashburn, VA
National Provider Identifier
1760674741
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810003828 Issued in VA
Practice address
44095 Pipeline PLZ Ste 130
Ashburn, VA 20147-7515
Phone
(703) 721-7521
NPI assigned
Aug 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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 0810003828 VA Primary

Addresses

Primary practice location

44095 Pipeline PLZ Ste 130
Ashburn, VA 20147-7515

Mailing address

44095 Pipeline PLZ Ste 130
Ashburn, VA 20147-7515
Phone (703) 721-7521

Other identifiers 1

IdentifierTypeStateIssuer
1760674741MedicaidVA

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Commonwealth Counseling Associates Inc Clinical PastSince Jan 1, 2011 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.

NPI Registry JSON

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

{
    "created_epoch": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630972800000",
    "number": "1760674741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44095 PIPELINE PLZ STE 130",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477515",
            "telephone_number": "703-721-7521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44095 PIPELINE PLZ STE 130",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477515",
            "telephone_number": "703-721-7521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERJANSKY",
        "first_name": "LINDSEY",
        "middle_name": "KELLER",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003828",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760674741",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Sep 7, 2021; 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.