Mary Kathryn Deacon

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

2200 Wilson Blvd
Arlington, VA 22201-3397

Phone

(703) 539-5006

NPI assigned

Aug 18, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Nov 18, 2022 through Nov 18, 2026

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Arlington DC Behavior Therapy Institute

  • Cognitive & Behavioral Psychologist
  • Arlington, VA
  • NPI 1235601584
  NPD (past)

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1841918588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222013397",
            "telephone_number": "703-539-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEACON",
        "first_name": "MARY KATHRYN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Pearson De la Cruz
• Vanessa De la Rosa
• Evangeline De Leon, PT, DPT
• James Thomas De Marco, DNP, APRN, PMHNP-BC
• Carla De Simone Irace
• Meghan Kathleen Deal, CRNA
• Tessa Dean, MA EDS
• Maria C Deasy
• Brickte L Debass, MD
• Sololia Debela, NP

• Psychologist in Arlington, VA
• Providers in Arlington, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.