Individual provider Active NPI

Laurie S Dos Santos, PSYD

  • Clinical Child & Adolescent Psychologist
  • MC Lean, VA
National Provider Identifier
1972766087
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X
Practice address
1390 Chain Bridge Rd # 50032
MC Lean, VA 22101-3904
Phone
(703) 520-7878
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Child & Adolescent Psychologist 103TC2200X Primary

Addresses

Primary practice location

1390 Chain Bridge Rd # 50032
MC Lean, VA 22101-3904

Mailing address

1390 Chain Bridge Rd # 50032
MC Lean, VA 22101-3904
Phone (703) 520-7878

Other names 1

  • Laurie Stern Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 11, 2025 through Apr 11, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Evolvinn Therapy CurrentSince Jan 14, 2024 Accepting new patients
The Ross Center for Anxiety & Related Disorders, LLC PastSince Mar 1, 2020 Accepting new patients
The Ross Center for Anxiety & Related Disorders Inc PastSince Mar 1, 2020 Accepting new patients

Locations

1390 Chain Bridge Rd
McLean, VA 22101
Phone (615) 412-8777

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": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1972766087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 CHAIN BRIDGE RD # 50032",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013904",
            "telephone_number": "703-520-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 CHAIN BRIDGE RD # 50032",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013904",
            "telephone_number": "703-520-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOS SANTOS",
        "first_name": "LAURIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURIE",
            "last_name": "STERN",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in MC Lean, VA

Sources for this page

Verify at the official NPI Registry.