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NORTHERN LIGHTS PSYCHOTHERAPY
NPI 1104450105
Psychologist - Clinical in Leesburg, VA

Active since February 27, 2020
222 CATOCTIN CIR SE STE 126, LEESBURG, VA 20175(571) 477-1613 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Northern Lights Psychotherapy NPPES

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

NORTHERN LIGHTS PSYCHOTHERAPY (NPI 1104450105) is a healthcare organization registered as a clinical in Leesburg, Virginia and active in the NPI registry since February 2020. The organization lists Sofia A Graham, Clinical Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1104450105
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameNORTHERN LIGHTS PSYCHOTHERAPY
Location Address222 CATOCTIN CIR SE STE 126Leesburg, VA 20175-3730
Mailing Address24400 Moon Glade CtAldie, VA 20105-3148 · (571) 379-6668
Phone(571) 477-1613
Organization SubpartNo
Authorized OfficialSofia A GrahamClinical Psychologist/owner · (571) 477-1613
Enumeration DateFebruary 27, 2020
✔ NPI 1104450105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
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.
222 CATOCTIN CIR SE STE 126, Leesburg, VA 20175
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Other Identifiers 1

Medicaid1104228121VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SOFIA GRAHAM PSY.D.
Psychologist (Clinical)
222 CATOCTIN CIR SE STE 126
LEESBURG, VA 20175
Loudoun County (714) 771-6135

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 Northern Lights Psychotherapy's NPI number?

The NPI number for Northern Lights Psychotherapy is 1104450105. It was assigned to this organization in the NPPES registry on February 27, 2020.

Where is Northern Lights Psychotherapy located?

Northern Lights Psychotherapy is located at 222 Catoctin Cir SE Ste 126, Leesburg, VA 20175. The listed phone number is (571) 477-1613.

What is Northern Lights Psychotherapy's specialty?

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

When was this NPI record last updated?

The NPPES record for Northern Lights Psychotherapy was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.