DR. LORI BRISTOW PH.D.
NPI 1215276365
Psychologist in Mc Lean, VA

Active since February 10, 2013Opted out of Medicare · through Dec 15, 2027
6723 WHITTIER AVE, SUITE 206, MC LEAN, VA 22101(703) 477-0692 Get Directions Write a Review

NPPES record last updated: August 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lori Bristow Ph.d. NPPES

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

DR. LORI BRISTOW PH.D. (NPI 1215276365) is an individual psychologist in Mc Lean, Virginia, licensed in Virginia (0810004605) and active in the NPI registry since February 2013. She has opted out of Medicare through December 15, 2027.

NPPES Registry Identity

NPI1215276365
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. LORI BRISTOWCredential: PH.D.
Location Address6723 WHITTIER AVE, SUITE 206Mc Lean, VA 22101-4522
Mailing Address7600 Lakeside Village Dr, Unit DFalls Church, VA 22042-7548
Sole ProprietorNo
Enumeration DateFebruary 10, 2013
Last NPPES UpdateAugust 26, 2016
NPI 1215276365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VA · 0810004605
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
6723 WHITTIER AVE, Mc Lean, VA 22101

Other Names 1

Professional Name (2)Lori A. Bristow, Phd, Llc

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. Lori Bristow Ph.d. 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 15, 2025 through December 15, 2027.

Opt-Out Effective DateDecember 15, 2025
Opt-Out In Effect ThroughDecember 15, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 10

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

Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 405-C
MC LEAN, VA 22101
Psychologist (Clinical)
6723 WHITTIER AVE
MC LEAN, VA 22101
Radiology (Diagnostic Radiology)
6723 WHITTIER AVE, STE 306
MC LEAN, VA 22101
Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 207
MC LEAN, VA 22101
Social Worker (Clinical)
6723 WHITTIER AVE, SUITE 405B
MCLEAN, VA 22101
Radiology (Vascular & Interventional Radiology)
6723 WHITTIER AVE
MC LEAN, VA 22101
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6723 WHITTIER AVE, SUITE 405-C
MCLEAN, VA 22101
Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 207
MC LEAN, VA 22101

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 Lori Bristow's NPI number?

The NPI number for Lori Bristow is 1215276365. It was assigned to this individual provider in the NPPES registry on February 10, 2013. The provider is also known as Lori A. Bristow, Phd, LLC.

Where is Lori Bristow located?

Lori Bristow practices at 6723 Whittier Ave Suite 206, Mc Lean, VA 22101. The listed phone number is (703) 477-0692.

What is Lori Bristow's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Lori Bristow enrolled in Medicare?

No. Lori Bristow has opted out of Medicare through December 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Lori Bristow was last updated on August 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.