Jacqueline Diana Alexander, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810005341 Issued in VA

Practice address

225 Reserve Blvd Apt 303
Charlottesville, VA 22901-1665

Phone

(703) 409-2492

NPI assigned

Apr 22, 2020

Last updated

Apr 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jacqueline Diana Woods Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jacquelinealexander@tdh.allscriptsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Psychologist

  NPD

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1790305464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 RESERVE BLVD APT 303",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011665",
            "telephone_number": "703-409-2492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 RESERVE BLVD APT 303",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229011665",
            "telephone_number": "703-409-2492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "JACQUELINE",
        "middle_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810005341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "WOODS",
            "middle_name": "DIANA",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark Douglas Albright, PHARMD
• Alchemy Counseling and Art Therapy
• Sanaa Aldolemi
• Ashley Alex
• Charles George Alex, MD
• Robert B Alexander, MD
• Alan P. Alfano
• Bennett A. Alford, M.D.
• Daphne Algaze, LCSW
• Sherry Fu Alger, MD

• Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.