FRED PISONI PSYD
NPI 1609156504
Psychologist - Clinical in Mc Lean, VA

Q: What is Fred Pisoni's NPI number?

The NPI number for Fred Pisoni is 1609156504. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Q: What is Fred Pisoni's specialty?

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

Q: Is Fred Pisoni enrolled in Medicare?

No. Fred Pisoni has opted out of Medicare through January 1, 2028. 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 Fred Pisoni was last updated on July 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 23, 2011Opted out of Medicare · through Jan 1, 2028

6832 OLD DOMINION DR STE 200, MC LEAN, VA 22101(703) 750-3518 Get Directions Write a Review

NPPES record last updated: July 1, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fred Pisoni Psyd NPPES

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

FRED PISONI PSYD (NPI 1609156504) is an individual clinical provider in Mc Lean, Virginia, licensed in Virginia (0810004136) and active in the NPI registry since August 2011. He has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1609156504

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameFRED PISONICredential: PSYD

Location Address6832 OLD DOMINION DR STE 200Mc Lean, VA 22101-3827

Mailing Address6832 Old Dominion Dr Ste 200Mc Lean, VA 22101-3827 · (703) 750-3518

Phone(703) 750-3518

Sole ProprietorYes

Enumeration DateAugust 23, 2011

Last NPPES UpdateJuly 1, 2012

✔ NPI 1609156504 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 · 0810004136

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.

6832 OLD DOMINION DR STE 200, Mc Lean, VA 22101

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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

Fred Pisoni Psyd 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, 2022 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2022

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

MCLEAN PSYCHIATRIC SERVICES LLC

Psychiatry & Neurology (Psychiatry)

6832 OLD DOMINION DR STE 200
MC LEAN, VA 22101

Fairfax County (703) 336-2406

MRS. NATALIEGOLDBERG A. GOLDBERG LCSW

Social Worker (Clinical)

6832 OLD DOMINION DR STE 200
MCLEAN, VA 22101

Fairfax County (301) 922-3388

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 Fred Pisoni's NPI number?

The NPI number for Fred Pisoni is 1609156504. It was assigned to this individual provider in the NPPES registry on August 23, 2011.

Where is Fred Pisoni located?

Fred Pisoni practices at 6832 Old Dominion Dr Ste 200, Mc Lean, VA 22101. The listed phone number is (703) 750-3518.

What is Fred Pisoni's specialty?

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

Is Fred Pisoni enrolled in Medicare?

No. Fred Pisoni has opted out of Medicare through January 1, 2028. 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 Fred Pisoni was last updated on July 1, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.