Cara Cicero, PSY.D.
Individual provider Active NPI Clinical Psychologist · Alexandria, VA
NPI 1790808392 · NPPES record last updated Dec 11, 2025
Key facts
- NPI
- 1790808392
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810004197 (VA)
- Practice address
- 2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448 - Phone
- (703) 768-6240
- NPI assigned
- Apr 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 26, 2022 through May 26, 2028
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004197 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Vernon Family Therapy | Clinical | Current |
Accepting new patients |
| The Kingsbury Center Inc. | Clinical | Past | Accepting new patients |
Locations
2560 Huntington Ave
Ste 302
Alexandria, VA 22303
Phone (703) 765-6115
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004197 | VA | Yes |
Addresses
Primary practice location
2560 Huntington Ave Ste 302
Alexandria, VA 22303-1448
Mailing address
2560 Huntington Ave Ste 392
Alexandria, VA 22303-1448
Phone (703) 798-8186
Other providers in Alexandria, VA
- Dana A Chung
- Elijah Charles Chung
- Sora Chung
- Samar Chwairy
- Lindsey Cibelli
- Cindy Clarke PT PC
- Virginia Minehart Cinzano
- Victoria Cioffi
- Circle Medical Care Group PA
- Circle of One, Inc.
All providers in Alexandria, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.