Self Knowledge Base and Foundation

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SELF KNOWLEDGE BASE AND FOUNDATION

Practice address

43803 Michener Dr
Ashburn, VA 20147-5807

Phone

(703) 443-4924

Fax

(703) 775-1560

NPI assigned

Aug 14, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Michelle R Rad, LCP, PSYD, MA, APIT

Title

Founder, Licensed Clinical Psycholo

Phone

(443) 937-3183

Specialties & licenses 1

Addresses

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Evidence Based Consultation LLC Ebc

  • Clinical Psychologist
  • Ashburn, VA
  • NPI 1639783574
  NPPES parent name

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1780467993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43803 MICHENER DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475807",
            "telephone_number": "443-937-3183",
            "fax_number": "571-999-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43803 MICHENER DR",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201475807",
            "telephone_number": "703-443-4924",
            "fax_number": "703-775-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELF KNOWLEDGE BASE AND FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "RAD",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "FOUNDER, LICENSED CLINICAL PSYCHOLO",
        "authorized_official_telephone_number": "443-937-3183",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCP, PSYD, MA, APIT"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Hunt Sedgewick, MD
• Tahmina Sediki, PA-C
• Paxtynn Elizabeth See
• Edgard A Segura, MD
• Nyrka Segura
• Kirsten Monica Sepulveda, BEHAVIOR TECHNICIAN
• Heidi Renae Sequeira, CNP
• Malika Seth, MD
• Rupinder K. Sethi, MD
• McKayla F Shaffer

• Clinical Psychologist in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.