Individual provider Active NPI

Victoria Bathe, PHD

  • Clinical Psychologist
  • Arlington, VA
National Provider Identifier
1992433791
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810008084 Issued in VA
Practice address
1655 Fort Myer Dr Ste 700
Arlington, VA 22209-3199
Phone
(703) 594-1239
NPI assigned
Aug 10, 2022
Last updated
Apr 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PSY200001541 DC
Clinical Psychologist 103TC0700X 0810008084 VA Primary

Addresses

Primary practice location

1655 Fort Myer Dr Ste 700
Arlington, VA 22209-3199

Mailing address

1655 Fort Myer Dr Ste 700
Arlington, VA 22209-3199

Other practice location 1

2200 Wilson Blvd
Arlington, VA 22201-3397
Phone (703) 539-5006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 31, 2023 through Jan 31, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
PSY200001541DCMDClinical Psychologist
0810008084VAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1992433791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1655 FORT MYER DR STE 700",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222093199",
            "telephone_number": "703-594-1239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Wilson Blvd",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222013397",
            "country_code": "US",
            "telephone_number": "703-539-5006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BATHE",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-10",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "DC",
            "license": "PSY200001541",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008084",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.