Three Leaves Psychological Services LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

License

0810005362 Issued in VA

Legal business name

THREE LEAVES PSYCHOLOGICAL SERVICES LLC

Practice address

11307 Sunset Hills Rd
B-4
Reston, VA 20190-5278

Phone

(213) 344-9008

NPI assigned

Apr 10, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Emily Dreiling, PH.D.NPI 1518222868

Title

Clinical Psychologist

Phone

(213) 344-9008

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Emily Dreiling, PH.D.

  • Clinical Psychologist
  • Chantilly, VA
  • NPI 1518222868

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491782400000",
    "number": "1770016461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25996 TALAMORE DR",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201521758",
            "telephone_number": "213-344-9008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11307 SUNSET HILLS RD",
            "address_2": "B-4",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905278",
            "telephone_number": "213-344-9008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THREE LEAVES PSYCHOLOGICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-10",
        "last_updated": "2017-04-10",
        "status": "A",
        "authorized_official_last_name": "DREILING",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "213-344-9008",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": "VA",
            "license": "0810005362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Daniels Thompson, MD
• Dana Christensen Thompson, LCSW
• Jane Quinan Thompson, NP
• Wendy Michelle Thompson
• Deepika Naidu Thota
• Three Nurses Home Health,LLC
• Melissa Susan Thuma, ATC
• Candace S. Thurston, M.D.
• Marissa G Tibbetts, DPT
• Emma Maria Tierney

• Counseling Psychologist in Reston, VA
• Providers in Reston, VA by specialty
• Counseling Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2017; 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.