NPIMap

Organization Active NPI

Self Knowledge Base and Foundation

  • Clinical Psychologist
  • Ashburn, VA
National Provider Identifier
1780467993
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
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
Last updated
Apr 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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, APITNPI 1720459746
Title
Founder, Licensed Clinical Psycholo
Phone
(443) 937-3183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

43803 Michener Dr
Ashburn, VA 20147-5807

Mailing address

43803 Michener Dr
Ashburn, VA 20147-5807
Phone (443) 937-3183

National Provider Directory

National Provider Directory

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

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 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.