Active NPI
Chelita Dubois, PSY.D.
- Clinical Psychologist
- Falls Church, VA
National Provider Identifier
1922380401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005433
- Practice address
- 313 Park Ave
Suite 203
Falls Church, VA 22046-3327 - Phone
- (703) 520-4118
- NPI assigned
- Sep 12, 2011
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810005433 | VA | Primary |
| Clinical Psychologist | 103TC0700X | 1674 | AL | |
| Clinical Psychologist | 103TC0700X | PSY1001216 | DC |
Addresses
Primary practice location
313 Park Ave
Suite 203
Falls Church, VA 22046-3327
Mailing address
313 Park Ave
Suite 203
Falls Church, VA 22046-3327
Phone (703) 520-4118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY1001216 | DC | MD | Clinical Psychologist |
| 0810005433 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dubois Psychological & Consulting Services | Clinical | Current | Accepting new patients |
| Clinical Psychologists, P.C. | Clinical | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Washington, DC
- NPI 1154070142
Clinical
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480896000000",
"number": "1922380401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "313 PARK AVE",
"address_2": "SUITE 203",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463327",
"telephone_number": "703-520-4118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 PARK AVE",
"address_2": "SUITE 203",
"city": "FALLS CHURCH",
"state": "VA",
"postal_code": "220463327",
"telephone_number": "703-520-4118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUBOIS",
"first_name": "CHELITA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-12",
"last_updated": "2016-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005433",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "AL",
"license": "1674",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "DC",
"license": "PSY1001216",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Falls Church, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.