Mona Ezzat Abuhamda, MONA ABUHAMDA

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003498 Issued in VA

Practice address

6842 Elm St Ste 103
MC Lean, VA 22101

Phone

(703) 356-9136

NPI assigned

Jan 8, 2010

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

Other names 1

• Mona Ezzat Abuhamda Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Apr 1, 2016 through Apr 1, 2028

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Psychology Associates of Northern Virginia, LLC

  • Clinical Psychologist
  • Woodbridge, VA
  • NPI 1013225069

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1262908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1962732289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6842 ELM ST STE 103",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013844",
            "telephone_number": "703-356-9136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6842 ELM ST STE 103",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-356-9136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUHAMDA",
        "first_name": "MONA",
        "middle_name": "EZZAT",
        "name_prefix": "Dr.",
        "credential": "MONA ABUHAMDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-08",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONA",
            "last_name": "ABUHAMDA",
            "middle_name": "EZZAT",
            "credential": "PSY.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Annalise Oluwatoyin Abiodun, M.D.
• Jonathan Abraham
• Shallese Abrams
• Khawla Abuaqel
• Salma Elkadi Abugideiri, LPC
• Zviadi Aburjania, MD
• Jessica Lynn Acevedo, RBT
• Emily McGovern Ackerman
• Karla Addess, RDHMS
• Adebunmi O Adeyiga, MD

• All providers in MC Lean, VA
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.