DR. EMMA VINES PSYD
NPI 1023639754
Psychologist - Clinical in Arlington, VA

Q: What is Emma Vines's NPI number?

The NPI number for Emma Vines is 1023639754. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Q: What is Emma Vines's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Emma Vines enrolled in Medicare?

No. Emma Vines has opted out of Medicare through December 2, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Emma Vines was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since May 05, 2020Opted out of Medicare · through Dec 2, 2026

2200 WILSON BLVD STE 210, ARLINGTON, VA 22201(703) 539-5006 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2020, May 5, 2020 (2 updates tracked since 2020).

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About Dr. Emma Vines Psyd NPPES

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

DR. EMMA VINES PSYD (NPI 1023639754) is an individual clinical provider in Arlington, Virginia, licensed in Virginia (0810007268) and active in the NPI registry since May 2020. She has opted out of Medicare through December 2, 2026.

NPPES Registry Identity

NPI1023639754

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. EMMA VINESCredential: PSYD

Location Address2200 WILSON BLVD STE 210Arlington, VA 22201-3324

Mailing Address2200 Wilson Boulivard, Suite 210Arlington, VA 22201 · (703) 539-5006

Phone(703) 539-5006

Sole ProprietorNo

Enumeration DateMay 5, 2020

Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration

NPPES CertifiedOctober 22, 2020

✔ NPI 1023639754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in VA · 0810007268

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

2200 WILSON BLVD STE 210, Arlington, VA 22201

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Other Identifiers 1

Other103TC0700XTaxonomy Code

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Emma Vines Psyd 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 December 2, 2020 through December 2, 2026.

Opt-Out Effective DateDecember 2, 2020

Opt-Out In Effect ThroughDecember 2, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

DR. DANIELLE MIRI SHPIGEL PHD

Psychologist