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NICOLE N HASHEMIAN PSY.D
NPI 1861008492
Clinical Neuropsychologist in Fairfax, VA

Active since September 18, 2020PECOS EnrolledAccepts Medicare Assignment
3040 WILLIAMS DR STE 402, FAIRFAX, VA 22031(703) 573-3673(703) 573-3574 Get Directions Write a Review

NPPES record last updated: September 18, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nicole N Hashemian Psy.d NPPES

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

NICOLE N HASHEMIAN PSY.D (NPI 1861008492) is an individual clinical neuropsychologist in Fairfax, Virginia, licensed in Virginia (0810007227) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1861008492
Entity TypeIndividualFemale
Primary Taxonomy103G00000X
Provider Legal NameNICOLE N HASHEMIANCredential: PSY.D
Location Address3040 WILLIAMS DR STE 402Fairfax, VA 22031-4618
Mailing Address3040 Williams Dr Ste 402Fairfax, VA 22031-4618 · (703) 573-3673 · Fax (703) 573-3574
Phone(703) 573-3673
Fax(703) 573-3574
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 18, 2020
NPPES CertifiedSeptember 18, 2020
✔ NPI 1861008492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in VA · 0810007227
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
3040 WILLIAMS DR STE 402, Fairfax, VA 22031
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole N Hashemian Psy.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7416377254
PECOS Enrollment IDI20201016002579
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Hashemian reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Barry B Ekdom Phd, PC
Same address
Clinical Neuropsychologist
3040 WILLIAMS DR, SUITE 402
Fairfax, VA 22031
  • Reassigned Medicare billing, District of Columbia enrollment
  • 3 clinicians in this Medicare group
NPI 1194804914 (703) 573-3575

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

JOANNA LUZZI PSY.D.
Clinical Neuropsychologist
3040 WILLIAMS DR STE 402
FAIRFAX, VA 22031
Fairfax County (703) 573-3573
RACHEL MCINTYRE
Counselor (Mental Health)
3040 WILLIAMS DR STE 402
FAIRFAX, VA 22031
Fairfax County (703) 573-3574

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 Nicole Hashemian's NPI number?

The NPI number for Nicole Hashemian is 1861008492. It was assigned to this individual provider in the NPPES registry on September 18, 2020.

Where is Nicole Hashemian located?

Nicole Hashemian practices at 3040 Williams Dr Ste 402, Fairfax, VA 22031. The listed phone number is (703) 573-3673.

What is Nicole Hashemian's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Nicole Hashemian enrolled in Medicare?

Yes. Nicole Hashemian is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Hashemian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Hashemian reassigns Medicare benefits to Barry B Ekdom Phd, PC (Fairfax, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Hashemian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Hashemian was last updated on September 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.