Active NPI
Rebecca Jill Fleischer, PSY.D.
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1881622975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002480
- Practice address
- 10560 Main St
Suite 217
Fairfax, VA 22030-7182 - Phone
- (703) 919-1756
- Fax
- (703) 552-7656
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 Psychologist | 103TC0700X | 0810002480 | VA | Primary |
Addresses
Primary practice location
10560 Main St
Suite 217
Fairfax, VA 22030-7182
Mailing address
10560 Main St
Suite 217
Fairfax, VA 22030-7182
Phone (703) 919-1756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 23, 2024 through Oct 23, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002480 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1342137600000",
"number": "1881622975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10560 MAIN ST",
"address_2": "SUITE 217",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307182",
"telephone_number": "703-919-1756",
"fax_number": "703-552-7656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10560 MAIN ST",
"address_2": "SUITE 217",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307182",
"telephone_number": "703-919-1756",
"fax_number": "703-552-7656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLEISCHER",
"first_name": "REBECCA",
"middle_name": "JILL",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2012-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002480",
"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 Jul 13, 2012; 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.