Active NPI
Nicole N Hashemian, PSY.D
- Clinical Neuropsychologist
- Fairfax, VA
National Provider Identifier
1861008492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810007227
- Practice address
- 3040 Williams Dr Ste 402
Fairfax, VA 22031-4618 - Phone
- (703) 573-3673
- Fax
- (703) 573-3574
- NPI assigned
- Sep 18, 2020
- 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 Neuropsychologist | 103G00000X | 0810007227 | VA | Primary |
Addresses
Primary practice location
3040 Williams Dr Ste 402
Fairfax, VA 22031-4618
Mailing address
3040 Williams Dr Ste 402
Fairfax, VA 22031-4618
Phone (703) 573-3673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3040 Williams Dr
Suite 402
Fairfax, VA 22031-4618
Phone (703) 573-3573
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810007227 | VA | MD | Clinical Neuropsychologist |
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.
-
dba Ekdom Neuropsychology Group
- Clinical Neuropsychologist
- Fairfax, VA
- NPI 1194804914
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1861008492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3040 WILLIAMS DR STE 402",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314618",
"telephone_number": "703-573-3673",
"fax_number": "703-573-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3040 WILLIAMS DR STE 402",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314618",
"telephone_number": "703-573-3673",
"fax_number": "703-573-3574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HASHEMIAN",
"first_name": "NICOLE",
"middle_name": "N",
"credential": "PSY.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "103G00000X",
"taxonomy_group": "",
"desc": "Clinical Neuropsychologist",
"state": "VA",
"license": "0810007227",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.