Individual provider Active NPI

Tanya Venisa Moncrieffe-Heath

  • School Psychologist
  • Arlington, VA
National Provider Identifier
1851882963
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PPS-0605478 Issued in VA
Practice address
2100 Washington Blvd FL 3
Arlington, VA 22204-5717
Phone
(703) 228-5905
NPI assigned
May 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X PPS-0605478 VA Primary

Addresses

Primary practice location

2100 Washington Blvd FL 3
Arlington, VA 22204-5717

Mailing address

1075 S Jefferson St Apt 222
Arlington, VA 22204-3121
Phone (910) 286-9550

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

LicenseStateTypeSpecialty
PPS-0605478VAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1527120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527120000000",
    "number": "1851882963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 S JEFFERSON ST APT 222",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222043121",
            "telephone_number": "910-286-9550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 WASHINGTON BLVD FL 3",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222045717",
            "telephone_number": "703-228-5905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONCRIEFFE-HEATH",
        "first_name": "TANYA",
        "middle_name": "VENISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-24",
        "last_updated": "2018-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "PPS-0605478",
            "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 May 24, 2018; 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.