Individual provider Active NPI

Laila Salem Farmand, PSY.D.

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1801387311
Registry record updated May 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005857 Issued in VA
Practice address
2200 Wilson Blvd Ste 412
Arlington, VA 22201-3324
Phone
(571) 328-7408
Fax
(844) 249-5577
NPI assigned
May 21, 2018
Last updated
May 21, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PY9475 FL
Clinical Psychologist 103TC0700X 0810005857 VA Primary

Addresses

Primary practice location

2200 Wilson Blvd Ste 412
Arlington, VA 22201-3324

Mailing address

2442 S Walter Reed Dr Unit a
Arlington, VA 22206-4090
Phone (703) 629-3870

Other identifiers 1

IdentifierTypeStateIssuer
0810005857OtherVAN/A

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Dec 14, 2021 through Dec 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PY9475FLMDPsychologist
0810005857VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Body Health LLC Psychologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526860800000",
    "number": "1801387311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 S WALTER REED DR UNIT A",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222064090",
            "telephone_number": "703-629-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD STE 412",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013324",
            "telephone_number": "571-328-7408",
            "fax_number": "844-249-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARMAND",
        "first_name": "LAILA",
        "middle_name": "SALEM",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9475",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "0810005857",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.