Organization Active NPI

Cedar Psychological Center

  • Clinical Psychologist
  • Chantilly, VA
National Provider Identifier
1922532001
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004305 Issued in VA
Legal business name
CEDAR PSYCHOLOGICAL CENTER
Practice address
42450 Fawn Meadow PL
Chantilly, VA 20152-4177
Phone
(540) 205-2998
NPI assigned
Apr 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Authorized official

Name
Dr. Amber Parker, PSY.D.NPI 1396013173
Title
Clinical Psychologist
Phone
(540) 205-2998

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810004305 VA Primary

Addresses

Primary practice location

42450 Fawn Meadow PL
Chantilly, VA 20152-4177

Mailing address

42450 Fawn Meadow PL
Chantilly, VA 20152-4177
Phone (540) 205-2998

Other names 1

  • Parker Psychological Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170608000381 VA Part B Supplier - Clinic/Group Practice 4284902636 Receives reassigned benefits from 1 practitioner
Practice locations: Chantilly, VA

National Provider Directory

National Provider Directory

Locations

115 The Plains Rd
Ste 200
Middleburg, VA 20117

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733443200000",
    "number": "1922532001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42450 FAWN MEADOW PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524177",
            "telephone_number": "540-205-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42450 FAWN MEADOW PL",
            "city": "CHANTILLY",
            "state": "VA",
            "postal_code": "201524177",
            "telephone_number": "540-205-2998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR PSYCHOLOGICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "540-205-2998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Parker Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chantilly, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.