Individual provider Active NPI

Katherine Snably, PSY.D.

  • Clinical Psychologist
  • Woodbridge, VA
National Provider Identifier
1922472943
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004952 Issued in VA
Practice address
4320 Prince William Pkwy
Suite 109
Woodbridge, VA 22192-8100
Phone
(703) 969-3275
NPI assigned
Nov 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810004952 VA Primary

Addresses

Primary practice location

4320 Prince William Pkwy
Suite 109
Woodbridge, VA 22192-8100

Mailing address

4320 Prince William Pkwy
Suite 109
Woodbridge, VA 22192-8100
Phone (703) 969-3275

Other names 1

  • Katherine Robinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170612001985 VA Practitioner - Clinical Psychologist 9537437736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodbridge Psychological Associates PCGroup PAC ID 1052689379, 8 clinicians

Practice addresses (Care Compare)

4320 Prince William Pkwy
Suite 109
Woodbridge, VA 22192-8100
Phone (703) 680-4200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810004952VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Woodbridge Psychological Associates, P.C. Clinical CurrentSince Jun 9, 2017 Accepting new patients

Locations

4320 Prince William Pkwy
Ste 109
Woodbridge, VA 22192
Phone (703) 680-4200

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447632000000",
    "number": "1922472943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4320 PRINCE WILLIAM PKWY",
            "address_2": "SUITE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928100",
            "telephone_number": "703-969-3275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 PRINCE WILLIAM PKWY",
            "address_2": "SUITE 109",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928100",
            "telephone_number": "703-969-3275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNABLY",
        "first_name": "KATHERINE",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ROBINSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.