Organization Active NPI

Drscd and Associates

  • Clinical Psychologist
  • Leesburg, VA
National Provider Identifier
1942945076
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
DRSCD AND ASSOCIATES
Practice address
19301 Winmeade Dr Ste 216
Leesburg, VA 20176-6503
Phone
(703) 261-4346
NPI assigned
May 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Authorized official

Name
Dr. Carol Williams Nickelson, PSYDNPI 1922637982
Title
Ceo and Partner
Phone
(703) 261-4346

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 Primary

Addresses

Primary practice location

19301 Winmeade Dr Ste 216
Leesburg, VA 20176-6503

Mailing address

21385 Glebe View Dr
Broadlands, VA 20148-3629
Phone (703) 261-4346

Other identifiers 1

IdentifierTypeStateIssuer
1922637982MedicaidVA

Other names 2

  • Clarity Psychological Services, LLC Doing business as
  • DRSCD and Associates Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.claritypsychological.com Other

National Provider Directory

National Provider Directory

Locations

19301 Winmeade Dr
Ste 216
Leesburg, VA 20176
Phone (703) 261-4346

Practitioners & affiliated clinicians

Practitioners 4

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": "1651536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1942945076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21385 GLEBE VIEW DR",
            "city": "BROADLANDS",
            "state": "VA",
            "postal_code": "201483629",
            "telephone_number": "703-261-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19301 WINMEADE DR STE 216",
            "city": "LEESBURG",
            "state": "VA",
            "postal_code": "201766503",
            "telephone_number": "703-261-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRSCD AND ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-03",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "NICKELSON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "CEO AND PARTNER",
        "authorized_official_telephone_number": "703-261-4346",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922637982",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.claritypsychological.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Contact for information",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "19301 Winmeade Dr Ste 216",
            "city": "Leesburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "201766503",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Clarity Psychological Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DRSCD and Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Leesburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.