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AVY STOCK
NPI 1003138744
Psychologist - Clinical Child & Adolescent in Leesburg, VA

Active since February 23, 2010Opted out of Medicare · through Feb 2, 2027
42009 VICTORY LN, LEESBURG, VA 20176(330) 758-4515(330) 758-2862 Get Directions Write a Review

NPPES record last updated: February 23, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Avy Stock NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVY STOCK (NPI 1003138744) is an individual clinical child & adolescent provider in Leesburg, Virginia, licensed in Virginia (0810003939) and active in the NPI registry since February 2010. She has opted out of Medicare through February 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1003138744
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameAVY STOCK
Location Address42009 VICTORY LNLeesburg, VA 20176-6269
Mailing Address42009 Victory LnLeesburg, VA 20176-6269 · (330) 758-4515 · Fax (330) 758-2862
Phone(330) 758-4515
Fax(330) 758-2862
Sole ProprietorNo
Enumeration DateFebruary 23, 2010
✔ NPI 1003138744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License✔ Licensed in VA · 0810003939
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
42009 VICTORY LN, Leesburg, VA 20176
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Avy Stock has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 2, 2013 through February 2, 2027.

Opt-Out Effective DateFebruary 2, 2013
Opt-Out In Effect ThroughFebruary 2, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TAMMY JOHNSTON LCSW
Social Worker (Clinical)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (330) 758-4515
KELLEY GILBERT DAUSMAN
Counselor (Mental Health)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (703) 554-6336
ANTOINETTE WADSWORTH LPC
Counselor (Professional)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (703) 777-0800
MICHELE NOBLE LPC
Counselor (Mental Health)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (703) 777-0800
RACHEAL MACHAKA LPC
Counselor (Professional)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (402) 714-9301
MRS. BROOKE ANN PETERS LPC
Counselor (Professional)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (703) 777-0800
KELLY DAVIS LCSW
Social Worker (Clinical)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (703) 777-0800
JENNIFER O'BRYAN LCSW
Social Worker (Clinical)
42009 VICTORY LN
LEESBURG, VA 20176
Loudoun County (703) 777-0822

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avy Stock's NPI number?

The NPI number for Avy Stock is 1003138744. It was assigned to this individual provider in the NPPES registry on February 23, 2010.

Where is Avy Stock located?

Avy Stock practices at 42009 Victory Ln, Leesburg, VA 20176. The listed phone number is (330) 758-4515.

What is Avy Stock's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Avy Stock enrolled in Medicare?

No. Avy Stock has opted out of Medicare through February 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Avy Stock was last updated on February 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.