Christine Capetan, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002856 Issued in VA

Practice address

7700 Leesburg Pike
Suite 406
Falls Church, VA 22043-2615

Phone

(703) 474-9140

Fax

(703) 913-5798

NPI assigned

Dec 12, 2006

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 identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811058035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "SUITE 406",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-474-9140",
            "fax_number": "703-913-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 LEESBURG PIKE",
            "address_2": "SUITE 406",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220432615",
            "telephone_number": "703-474-9140",
            "fax_number": "703-913-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPETAN",
        "first_name": "CHRISTINE",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "0000000460221",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "IP575525",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0007801374",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathleen McFadden Campos
• Jessica Jamie Canales, RESIDENT
• Paul B Cannon, DPM
• Lauren W Cantwell, RN, CNS, ACNP
• Mary E Cantwell, MD
• Capital Area Pediatrics, Inc
• Capital Caring Advanced Illness Services, Inc
• Capital Caring Stay at Home Service, Inc
• Capital Home Care LLC
• Capital Home Care Services

• Clinical Psychologist in Falls Church, VA
• Providers in Falls Church, 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 8, 2007; 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.