Marcia S Mofson, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004557 Issued in VA

Practice address

115 Park St SE
Suite 207
Vienna, VA 22180-4653

Phone

(703) 938-9090

Fax

(703) 938-9091

NPI assigned

Sep 10, 2012

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 13, 2017 through Mar 13, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Familyfirst Psychological Services, PC

  • Clinical Child & Adolescent Psychologist
  • Vienna, VA
  • NPI 1912214198
  NPD (past)
• Columbia County

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson, NY
  • NPI 1689618977
  NPD (past)
• Columbia County

  • Ambulance
  • Hudson, NY
  • NPI 1972056026
  NPD (past)
• Karner Psychological Associates PC

  • Psychologist
  • Guilderland, NY
  • NPI 1619913258
  NPD (past)

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

{
    "created_epoch": "1347235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347235200000",
    "number": "1891044566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 PARK ST SE",
            "address_2": "SUITE 207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804653",
            "telephone_number": "703-938-9090",
            "fax_number": "703-938-9091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 PARK ST SE",
            "address_2": "SUITE 207",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804653",
            "telephone_number": "703-938-9090",
            "fax_number": "703-938-9091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFSON",
        "first_name": "MARCIA",
        "middle_name": "S",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-10",
        "last_updated": "2012-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Mitchell, M.D.
• Mitra Hooshangi DDS, LLC
• Mitra Shahryary LCSW, Inc
• Mobile Massage, LLC
• Brandon James Mobley
• Saman Mokhtari
• Molinari Counseling and Wellness
• Bibi Latifa Momand
• Mahnaz Momeni, MD
• Monarch Dentistry

• Clinical Psychologist in Vienna, VA
• Providers in Vienna, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2012; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.