Active NPI
Annabelle Grace Patton, M.A.
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1982392726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810009509
- Practice address
- 4000 Legato Rd Ste 1100
Fairfax, VA 22033-2893 - Phone
- (703) 401-6636
- NPI assigned
- Apr 28, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810009509 | VA | Primary |
Addresses
Primary practice location
4000 Legato Rd Ste 1100
Fairfax, VA 22033-2893
Mailing address
4000 Legato Rd Ste 1100
Fairfax, VA 22033-2893
Phone (703) 401-6636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788220800000",
"number": "1982392726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4000 LEGATO RD STE 1100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332893",
"telephone_number": "703-401-6636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 LEGATO RD STE 1100",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220332893",
"telephone_number": "703-401-6636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTON",
"first_name": "ANNABELLE",
"middle_name": "GRACE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-28",
"last_updated": "2026-09-01",
"certification_date": "2026-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810009509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.