Active NPI
Maja N/a Ivankovic, PSY.D.
- Clinical Psychologist
- Arlington, VA
National Provider Identifier
1811244460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004957
- Practice address
- 2001 Jefferson Davis Hwy
Suite 511
Arlington, VA 22202-3603 - Phone
- (703) 416-1441
- Fax
- (703) 418-2112
- NPI assigned
- Aug 13, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810004957 | VA | Primary |
Addresses
Primary practice location
2001 Jefferson Davis Hwy
Suite 511
Arlington, VA 22202-3603
Mailing address
2001 Jefferson Davis Hwy
Suite 511
Arlington, VA 22202-3603
Phone (703) 416-1441
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810004957 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute for the Psychological Sciences | Clinical | 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 and National Provider Directory roles.
-
- Clinical Psychologist
- Sterling, VA
- NPI 1518304641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395187200000",
"number": "1811244460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2001 JEFFERSON DAVIS HWY",
"address_2": "SUITE 511",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222023603",
"telephone_number": "703-416-1441",
"fax_number": "703-418-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 JEFFERSON DAVIS HWY",
"address_2": "SUITE 511",
"city": "ARLINGTON",
"state": "VA",
"postal_code": "222023603",
"telephone_number": "703-416-1441",
"fax_number": "703-418-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVANKOVIC",
"first_name": "MAJA",
"middle_name": "N/A",
"name_prefix": "Ms.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-08-13",
"last_updated": "2014-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810004957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.