Reston Precision Neuropsychology LLC

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

Legal business name

RESTON PRECISION NEUROPSYCHOLOGY LLC

Practice address

441-D Carlisle Dr., Suite 103
Herndon, VA 20170-4802

Phone

(703) 715-7130

Fax

(833) 520-4863

NPI assigned

May 1, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Natalia Lugina Mauranne, MS, MA, PSYDNPI 1528527140

Title

Clinical Neuropsychologist

Phone

(571) 529-2663

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Natalia Lugina Mauranne, MS, MA, PSYD

  • Clinical Neuropsychologist
  • Herndon, VA
  • NPI 1528527140

  DC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591488000000",
    "number": "1831710755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11446 HOLLOW TIMBER CT",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201941980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441-D CARLISLE DR., SUITE 103",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201704802",
            "telephone_number": "703-715-7130",
            "fax_number": "833-520-4863"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11446 Hollow Timber Ct",
            "address_purpose": "LOCATION",
            "city": "Reston",
            "state": "VA",
            "postal_code": "201941980",
            "country_code": "US",
            "telephone_number": "571-529-2663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RESTON PRECISION NEUROPSYCHOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-06-07",
        "certification_date": "2020-06-07",
        "status": "A",
        "authorized_official_last_name": "LUGINA MAURANNE",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "CLINICAL NEUROPSYCHOLOGIST",
        "authorized_official_telephone_number": "571-529-2663",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MS, MA, PSYD"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Neuropsychologist in Herndon, VA
• Providers in Herndon, VA by specialty
• Clinical Neuropsychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.