NPI 1790901452 · live from the CMS NPI Registry
Jay Stuart Andrews, Ph.D., LMHC
Psychologist, Clinical in Reston, VA. National Provider Identifier 1790901452, active.
NPI record
| NPI | 1790901452 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 11870 Sunrise Valley Dr Ste 200, Reston, VA 20191 |
| Practice phone | 703-598-0036 |
| Mailing address | 3420 Ellmore Lane, Oakton, VA 22124 |
| Enumerated | April 18, 2007 |
| Last updated | July 5, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 4023 (MA) |
| Psychologist, Clinical primary | 103TC0700X | 0810004019 (VA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.