Anita Auerbach, PH.D.
Individual provider Active NPI Clinical Psychologist · MC Lean, VA
NPI 1871009969 · NPPES record last updated Dec 27, 2017
Key facts
- NPI
- 1871009969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810000842 (VA)
- Practice address
- 6801 Whittier Ave Ste 300
MC Lean, VA 22101-4549 - Phone
- (703) 734-0787
- NPI assigned
- Dec 27, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810000842 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Psychological Associates, PLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810000842 | VA | Yes |
Addresses
Primary practice location
6801 Whittier Ave Ste 300
MC Lean, VA 22101-4549
Mailing address
6801 Whittier Ave Ste 300
MC Lean, VA 22101-4549
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- Christina M. Aveni-Hatcher
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All providers in MC Lean, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.