DR. ANNA KATHERINE BLACK PH.D.
NPI 1841674421
Psychologist - Clinical in Burke, VA
NPI Status: Active since July 14, 2015
Contact Information
5244 LYNGATE CT STE 200
BURKE, VA
ZIP 22015
Phone: (703) 910-2577
Fax: (703) 661-9463
- Individual
- Female
- Psychologist
- Clinical
- Opted-Out Medicare
About ANNA KATHERINE BLACK
This page provides the complete NPI Profile along with additional information for Anna Katherine Black, a provider established in Burke, Virginia with a medical specialization in Psychologist, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1841674421 assigned on July 2015. The practitioner's primary taxonomy code is 103TC0700X with license number 60-1047 (MS). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1841674421
- Provider Name
- DR. ANNA KATHERINE BLACK PH.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 5244 LYNGATE CT STE 200 BURKE, VA 22015
- Location Phone
- (703) 910-2577
- Location Fax
- (703) 661-9463
- Mailing Address
- PO BOX 154 FAIRFAX STATION, VA 22039
- Mailing Phone
- (703) 910-2577
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-14-2015
- Last Update Date
- 09-10-2024
- Code Navigator
A clinical psychologist like Anna Katherine Black assesses, diagnoses, and treats mental, emotional, and behavioral disorders. Clinical psychologists help people deal with problems ranging from short-term personal issues to severe, chronic conditions. Clinical psychologists interview patients, give diagnostic tests, provide psychotherapy and design behavior modification programs to help patients.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Anna Katherine Black opted out of Medicare effective on 01-01-2025 until 01-01-2027. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Psychologist Clinical
- Taxonomy Code
- 103TC0700X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 60-1047
- License State
- MS
- Taxonomy Description
- 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.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2025
Opt-Out End Date: 01-01-2027
Eligible to Order and Refer? No
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Administration of psychological or neuropsychological test, each additional 30 minutes
Administration of psychological or neuropsychological test, first 30 minutes
Evaluation of psychological test, each additional hour
Evaluation of psychological test, first hour
Psychiatric diagnostic evaluation
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
This service was performed 58 times for 54 patientsThis procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
This service was performed 53 times for 53 patientsThis service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
This service was performed 55 times for 54 patientsThis procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
This service was performed 53 times for 53 patientsA psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
This service was performed 57 times for 57 patientsReviews for DR. ANNA KATHERINE BLACK PH.D.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 4 | 1 | 6 | 7 | 4 | 4 | 2 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 8 | 1 | 12 | 7 | 8 | 4 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 8 + 1 + 1 + 2 + 7 + 8 + 4 + 4 + 24 = 69 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 69 = 1 | 1 | ||||||||
The NPI number 1841674421 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1356656714 | DR. ALI NAVIDI PSY.D. Individual | Psychologist (Clinical) | 5244 LYNGATE CT STE 200 BURKE, VA 22015 (240) 603-4882 |
| 1538700117 | DR. NAVIDI & ASSOCIATES Organization | Psychologist (Cognitive & Behavioral) | 5244 LYNGATE CT STE 200 BURKE, VA 22015 (703) 537-5720 |
| 1194084962 | DR. JANET W EIG PSY.D. Individual | Psychologist (Clinical) | 5244 LYNGATE CT STE 200 BURKE, VA 22015 (703) 910-2577 |
| 1033404017 | TIFFANY DUFFING PHD Individual | Psychologist (Clinical) | 5244 LYNGATE CT STE 200 BURKE, VA 22015 (813) 210-7584 |
| 1336737543 | GI PSYCHOLOGY, PLLC Organization | Psychologist (Clinical) | 5244 LYNGATE CT STE 200 BURKE, VA 22015 (703) 244-9807 |
| 1457968026 | DR. ANTONIA MARIE REPOLLET PSYD Individual | Psychologist | 5244 LYNGATE CT STE 200 BURKE, VA 22015 (703) 910-2577 |
| 1467911552 | SARA HIEBSCH Individual | Counselor (Professional) | 5244 LYNGATE CT STE 200 BURKE, VA 22015 (281) 900-2986 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1841674421, enumerated in the NPI registry as an "individual" on July 14, 2015
The provider is located at 5244 Lyngate Ct Ste 200 Burke, Va 22015 and the phone number is (703) 910-2577
The provider's speciality is Psychologist with taxonomy code 103TC0700X with a focus in Clinical
The most common procedures or services performed by this practitioner are: Administration of psychological or neuropsychological test, each additional 30 minutes, Administration of psychological or neuropsychological test, first 30 minutes, Evaluation of psychological test, each additional hour, Evaluation of psychological test, first hour and Psychiatric diagnostic evaluation.
No, the provider signed an affidavit on January 01, 2025 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2027.
This NPI record was last updated on July 14, 2015. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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