Active NPI
Cedar Psychological Center
- Clinical Psychologist
- Chantilly, VA
National Provider Identifier
1922532001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810004305
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Amber Parker, PSY.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Clinical Psychologist
- Chantilly, VA
- NPI 1396013173
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.