Individual provider Active NPI

Rachel L Spurrier, PSY.D.

  • Clinical Psychologist
  • South Riding, VA
National Provider Identifier
1841503901
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004764 Issued in VA
Practice address
43130 Amberwood PLZ
Suite 140
South Riding, VA 20152-4105
Phone
(703) 348-0031
Fax
(703) 542-7770
NPI assigned
Jul 19, 2010
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004764 VA Primary

Addresses

Primary practice location

43130 Amberwood PLZ
Suite 140
South Riding, VA 20152-4105

Mailing address

169 Fulton Ave
Charles Town, WV 25414-3890
Phone (301) 509-8595

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 Jun 28, 2016 through Jun 28, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0810004764VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Assessment and Therapy Associates 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, 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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1841503901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 FULTON AVE",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254143890",
            "telephone_number": "301-509-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43130 AMBERWOOD PLZ",
            "address_2": "SUITE 140",
            "city": "SOUTH RIDING",
            "state": "VA",
            "postal_code": "201524105",
            "telephone_number": "703-348-0031",
            "fax_number": "703-542-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPURRIER",
        "first_name": "RACHEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Riding, VA

Sources for this page

Verify at the official NPI Registry.