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SELF KNOWLEDGE BASE AND FOUNDATION
NPI 1780467993
Psychologist - Clinical in Ashburn, VA

Active since August 14, 2023
43803 MICHENER DR, ASHBURN, VA 20147(703) 443-4924(703) 775-1560 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Aug 14, 2023 (2 updates tracked since 2023).

About Self Knowledge Base And Foundation NPPES

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

SELF KNOWLEDGE BASE AND FOUNDATION (NPI 1780467993) is a healthcare organization registered as a clinical in Ashburn, Virginia and active in the NPI registry since August 2023. The organization lists Michelle R Rad, Founder, Licensed Clinical Psycholo, as its authorized official.

NPPES Registry Identity

NPI1780467993
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSELF KNOWLEDGE BASE AND FOUNDATION
Location Address43803 MICHENER DRAshburn, VA 20147-5807
Mailing Address43803 Michener DrAshburn, VA 20147-5807 · (443) 937-3183 · Fax (571) 999-7201
Phone(703) 443-4924
Fax(703) 775-1560
Organization SubpartNo
Authorized OfficialMichelle R RadFounder, Licensed Clinical Psycholo · (443) 937-3183
Enumeration DateAugust 14, 2023
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1780467993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
43803 MICHENER DR, Ashburn, VA 20147
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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 2

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

EVIDENCE BASED CONSULTATION LLC EBC
Psychologist (Clinical)
43803 MICHENER DR
ASHBURN, VA 20147
Loudoun County (703) 443-4924
DR. MICHELLE RAD LCP, PSYD, MA
Psychologist (Clinical)
43803 MICHENER DR
ASHBURN, VA 20147
Loudoun County (703) 443-4924

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 Self Knowledge Base And Foundation's NPI number?

The NPI number for Self Knowledge Base And Foundation is 1780467993. It was assigned to this organization in the NPPES registry on August 14, 2023.

Where is Self Knowledge Base And Foundation located?

Self Knowledge Base And Foundation is located at 43803 Michener Dr, Ashburn, VA 20147. The listed phone number is (703) 443-4924.

What is Self Knowledge Base And Foundation's specialty?

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

When was this NPI record last updated?

The NPPES record for Self Knowledge Base And Foundation was last updated on April 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.