Jay Stuart Andrews, PH.D., LMHC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004019 Issued in VA

Practice address

11870 Sunrise Valley Dr Ste 200
Reston, VA 20191-3303

Phone

(703) 598-0036

Fax

(703) 390-1102

NPI assigned

Apr 18, 2007

Last updated

Jul 5, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 1, 2022 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Stuart Andrews, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Reston, VA
  • NPI 1134667447
  Authorized official Same address or phone

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562284800000",
    "number": "1790901452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3420 ELLMORE LANE",
            "city": "OAKTON",
            "state": "VA",
            "postal_code": "22124",
            "telephone_number": "703-598-0036",
            "fax_number": "703-390-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11870 SUNRISE VALLEY DR STE 200",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201913303",
            "telephone_number": "703-598-0036",
            "fax_number": "703-390-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "JAY",
        "middle_name": "STUART",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-18",
        "last_updated": "2019-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "4023",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anderson Clinic LLC (Anderson Clinic Inc)
• Amy L Anderson, L.P.C.
• Cindy Sue Anderson, M.D.
• Noelle Renee Anderson, DNP, FNP-BC
• Deborah Lynn Andrews-Chance, WHNP
• Gayatri Angara
• Angela Baker Howard, Pmhnp-BC, LLC
• Divya Angra
• Anil Vuggam PLLC
• Anna Health PLLC (Anna Health Family Medicine)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.