DR. NICOLE MICHELLE WOODARD PSY.D. - NPI 1326845462

Q: What is Nicole Woodard's NPI number?

The NPI number for Nicole Woodard is 1326845462. It was assigned to this individual provider in the NPPES registry on February 26, 2025.

Q: What is Nicole Woodard's specialty?

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

Q: Is Nicole Woodard enrolled in Medicare?

No. Nicole Woodard has opted out of Medicare through April 2, 2027. 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 Nicole Woodard was last updated on January 30, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Nicole Michelle Woodard Psy.d. NPPES

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

DR. NICOLE MICHELLE WOODARD PSY.D. (NPI 1326845462) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810008806) and active in the NPI registry since February 2025. She has opted out of Medicare through April 2, 2027.

NPPES Registry Identity

NPI1326845462

Entity TypeIndividualFemale

Primary Taxonomy103TC0700X

Provider Legal NameDR. NICOLE MICHELLE WOODARDCredential: PSY.D.

Location Address11350 RANDOM HILLS RD STE 310Fairfax, VA 22030-6044

Mailing Address1401 N St Nw Apt 914Washington, DC 20005-4823 · (305) 720-0097

Phone(703) 865-4900

Sole ProprietorNo

Enumeration DateFebruary 26, 2025

Last NPPES UpdateJanuary 30, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 30, 2026

✔ NPI 1326845462 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 · 0810008806

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.

11350 RANDOM HILLS RD STE 310, Fairfax, VA 22030

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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

Dr. Nicole Michelle Woodard Psy.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 April 2, 2025 through April 2, 2027.

Opt-Out Effective DateApril 2, 2025

Opt-Out In Effect ThroughApril 2, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 12

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

DR. SYDNEY LOUISE MILLS PSY.D.

Psychologist (Clinical)