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DR. VIVIAN ALLISON SHELTON PSY.D.
NPI 1487892014
Psychologist - Clinical in Mc Lean, VA

Active since February 04, 2009Opted out of Medicare · through Jan 1, 2027
6723 WHITTIER AVE, SUITE 207, MC LEAN, VA 22101(703) 475-6478 Get Directions Write a Review

NPPES record last updated: May 16, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vivian Allison Shelton Psy.d. NPPES

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

DR. VIVIAN ALLISON SHELTON PSY.D. (NPI 1487892014) is an individual clinical provider in Mc Lean, Virginia, licensed in Virginia (0810003370) and active in the NPI registry since February 2009. She has opted out of Medicare through January 1, 2027.

NPPES Registry Identity

NPI1487892014
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VIVIAN ALLISON SHELTONCredential: PSY.D.
Location Address6723 WHITTIER AVE, SUITE 207Mc Lean, VA 22101-4522
Mailing Address6723 Whittier Ave, Suite 207Mc Lean, VA 22101-4522 · (703) 475-6478
Phone(703) 475-6478
Sole ProprietorYes
Enumeration DateFebruary 4, 2009
Last NPPES UpdateMay 16, 2019
✔ NPI 1487892014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Licenses✔ Licensed in VA · 0810003370✔ Licensed in MA · 8990
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.
6723 WHITTIER AVE, Mc Lean, VA 22101
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Other Identifiers 5

Other1487892014MA · Blue Shield
Other1487892014MA · Tufts
Other001065301Medicare
Other213380MA · Neighborhood Health
Other6901895/5887718Aetna

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. Vivian Allison Shelton 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 January 1, 2023 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2023
Opt-Out In Effect ThroughJanuary 1, 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.

DR. STEPHANIE HUSIK TEBOR PHD
Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 405-C
MC LEAN, VA 22101
Fairfax County (703) 508-4836
DR. JOHN LESO PH.D.
Psychologist (Clinical)
6723 WHITTIER AVE
MC LEAN, VA 22101
Fairfax County (703) 475-6478
DR. NORDINE GAUGAU M.D.
Radiology (Diagnostic Radiology)
6723 WHITTIER AVE, STE 306
MC LEAN, VA 22101
Fairfax County (703) 891-3147
DR. ANNA MARIA LUCCA PH.D.
Psychologist (Clinical)
6723 WHITTIER AVE, SUITE 207
MC LEAN, VA 22101
Fairfax County (703) 475-6478
MS. CARMEN GALVAN VAUGHAN LCSW
Social Worker (Clinical)
6723 WHITTIER AVE, SUITE 405B
MCLEAN, VA 22101
Fairfax County (703) 790-5139
DR. LORI BRISTOW PH.D.
Psychologist
6723 WHITTIER AVE, SUITE 206
MC LEAN, VA 22101
Fairfax County (703) 477-0692
IMAGE GUIDED SURGERY CENTER, LLC
Radiology (Vascular & Interventional Radiology)
6723 WHITTIER AVE
MC LEAN, VA 22101
Fairfax County (719) 955-9128
DR. DOUGLAS ALAN TEBOR M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6723 WHITTIER AVE, SUITE 405-C
MCLEAN, VA 22101
Fairfax County (703) 908-9230

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 Vivian Shelton's NPI number?

The NPI number for Vivian Shelton is 1487892014. It was assigned to this individual provider in the NPPES registry on February 4, 2009.

Where is Vivian Shelton located?

Vivian Shelton practices at 6723 Whittier Ave Suite 207, Mc Lean, VA 22101. The listed phone number is (703) 475-6478.

What is Vivian Shelton's specialty?

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

Is Vivian Shelton enrolled in Medicare?

No. Vivian Shelton has opted out of Medicare through January 1, 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 Vivian Shelton was last updated on May 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.