Stacey Race, PSY, D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004121 Issued in VA

Practice address

41347 Raspberry Drive
Leesburg, VA 20176

Phone

(703) 975-9794

Fax

(703) 737-3922

NPI assigned

Feb 16, 2011

Last updated

Feb 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hoffmann and Lebeda Child and Family Services PLLC

  • Mental Health Counselor
  • Leesburg, VA
  • NPI 1922194133
  NPD (past)

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

{
    "created_epoch": "1297814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297814400000",
    "number": "1942507611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41347 RASPBERRY DRIVE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-975-9794",
            "fax_number": "703-737-3922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41347 RASPBERRY DRIVE",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "20176",
            "telephone_number": "703-975-9794",
            "fax_number": "703-737-3922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACE",
        "first_name": "STACEY",
        "name_prefix": "Dr.",
        "credential": "PSY, D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-16",
        "last_updated": "2011-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quality Medical Care Inc
• Reagan Wei Quan, M.D.
• Asima Saleem Quidwai, MD
• Frances Quintana, LCSW
• Roberta M Quirk, LCSW
• Ashley Marie Rader, PT DPT
• Cara Radonich, DNP, FNP
• Erin M Rahim, LPC
• Mohammad Azad Rahman, MD
• Marguerite Mary Rainer-Skala, LCSW

• Clinical Psychologist in Leesburg, VA
• Providers in Leesburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.