Individual provider Active NPI

Amy Cannava, ED.S., NCSP

  • School Psychologist
  • Arlington, VA
National Provider Identifier
1992310452
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0813000344 Issued in VA
Practice address
1325 S Dinwiddie St
Arlington, VA 22206-1082
Phone
(202) 505-7160
NPI assigned
Sep 11, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0816000011 VA
School PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TS0200X 0813000344 VA Primary

Addresses

Primary practice location

1325 S Dinwiddie St
Arlington, VA 22206-1082

Mailing address

6923 Backlick Shopping Center
Suite 139
Annandale, VA 22003
Phone (202) 365-8817

Other practice location 1

4920 Schuyler Dr
Annandale, VA 22003-5144
Phone (202) 365-8817

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Amy@rainstormstorainbows.org Direct
Other URL http://rainstormstorainbows.weebly.com/ Other

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

State licenses

LicenseStateTypeSpecialty
0813000344VAMDSchool Psychologist
0816000011VAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1992310452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 BACKLICK SHOPPING CENTER",
            "address_2": "SUITE 139",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "202-365-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 S DINWIDDIE ST",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222061082",
            "telephone_number": "202-505-7160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4920 Schuyler Dr",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220035144",
            "country_code": "US",
            "telephone_number": "202-365-8817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANNAVA",
        "first_name": "AMY",
        "credential": "ED.S., NCSP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0816000011",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Amy@rainstormstorainbows.org",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "4920 Schuyler Dr",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220035144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "http://rainstormstorainbows.weebly.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Information sharing",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "4920 Schuyler Dr",
            "city": "Annandale",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220035144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2020; 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.