Active NPI
Jennifer R Newhard, PSYD., LCP
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1912177940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005926
- Practice address
- 8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512 - Phone
- (703) 573-5679
- NPI assigned
- Mar 5, 2008
- Last updated
- Jun 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | NU | ||
| Clinical Psychologist | 103TC0700X | 0810005926 | VA | Primary |
Addresses
Primary practice location
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Mailing address
8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone (703) 573-5679
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912177940 | Medicaid | VA | |
| 1912177940 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | fairfaxcounty.gov |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624320000000",
"number": "1912177940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "703-573-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8221 WILLOW OAKS CORPORATE DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314512",
"telephone_number": "703-573-5679"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWHARD",
"first_name": "JENNIFER",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "PSYD., LCP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-05",
"last_updated": "2021-06-22",
"certification_date": "2021-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005926",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912177940",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1912177940",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "fairfaxcounty.gov",
"affiliation": "N",
"address_1": "8221 Willow Oaks Corporate Dr",
"city": "Fairfax",
"state": "VA",
"country_code": "US",
"postal_code": "220314512",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jun 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.