OLD TOWN PROFESSIONAL PSYCHOLOGY
NPI 1366063992
Psychologist - Clinical in Alexandria, VA

Q: What is Old Town Professional Psychology's NPI number?

The NPI number for Old Town Professional Psychology is 1366063992. It was assigned to this organization in the NPPES registry on May 5, 2020.

Q: What is Old Town Professional Psychology's specialty?

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

Active since May 05, 2020

411 1/2 N WASHINGTON ST, ALEXANDRIA, VA 22314(571) 327-0194 Get Directions Write a Review

NPPES record last updated: May 13, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2020, May 5, 2020 (2 updates tracked since 2020).

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About Old Town Professional Psychology NPPES

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

OLD TOWN PROFESSIONAL PSYCHOLOGY (NPI 1366063992) is a healthcare organization registered as a clinical in Alexandria, Virginia and active in the NPI registry since May 2020. The organization lists Sundar Cook, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1366063992

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameOLD TOWN PROFESSIONAL PSYCHOLOGY

Location Address411 1/2 N WASHINGTON STAlexandria, VA 22314-2311

Mailing Address411 1/2 N Washington StAlexandria, VA 22314-2311 · (540) 931-5238

Phone(571) 327-0194

Organization SubpartNo

Authorized OfficialSundar CookPsychologist · (540) 931-5238

Enumeration DateMay 5, 2020

Last NPPES UpdateMay 13, 20202 updates tracked since enumeration

NPPES CertifiedMay 13, 2020

✔ NPI 1366063992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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.

Also ListedPsychoanalystTaxonomy 102L00000X

Also ListedClinical NeuropsychologistTaxonomy 103G00000X

Also ListedPsychologist · PsychoanalysisTaxonomy 103TP0814X

411 1/2 N WASHINGTON ST, Alexandria, VA 22314

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

MS. NANCY ELLEN REDER LCSW

Social Worker (Clinical)