Individual provider Active NPI

Joanna Luzzi, PSY.D.

  • Clinical Neuropsychologist
  • Fairfax, VA
National Provider Identifier
1922651454
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Practice address
3040 Williams Dr Ste 402
Fairfax, VA 22031-4618
Phone
(703) 573-3573
Fax
(703) 573-3574
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X Primary

Addresses

Primary practice location

3040 Williams Dr Ste 402
Fairfax, VA 22031-4618

Mailing address

3040 Williams Dr Ste 402
Fairfax, VA 22031-4618
Phone (703) 573-3573

Other practice location 1

107 Carpenter Dr Ste 110
Sterling, VA 20164-4468
Phone (703) 297-4368

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210715000104 DC Practitioner - Clinical Psychologist 6305248295 Reassigns benefits to 1 organization
Practice locations: Fairfax, VA
I20260309001050 VA Practitioner - Clinical Psychologist 6305248295 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Barry B Ekdom PHD, PCGroup PAC ID 6901101807, 3 clinicians

Practice addresses (Care Compare)

3040 Williams Dr
Suite 402
Fairfax, VA 22031-4618
Phone (703) 573-3573

70 Main St
Suite 200
Warrenton, VA 20186-3346
Phone (571) 583-0122

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Luzzi Neuropsychology Practice CurrentSince Jan 9, 2026 Accepting new patients
Loudoun Psychological Services, LLC Past Accepting new patients

Locations

70 Main St
Warrenton, VA 20186
Phone (571) 583-0122

70 Main St
Ste 200
Warrenton, VA 20186

Organizations & group practices 3

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1922651454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 402",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "703-573-3573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 WILLIAMS DR STE 402",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314618",
            "telephone_number": "703-573-3573",
            "fax_number": "703-573-3574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Carpenter Dr Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "VA",
            "postal_code": "201644468",
            "country_code": "US",
            "telephone_number": "703-297-4368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUZZI",
        "first_name": "JOANNA",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.