Healthcare Provider Details

I. General information

NPI: 1477416956
Provider Name (Legal Business Name): NOVA PSYCHOTHERAPY AND ASSESSMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 EISENHOWER AVE STE 301
ALEXANDRIA VA
22314-4688
US

IV. Provider business mailing address

20 E BELLEFONTE AVE
ALEXANDRIA VA
22301-1433
US

V. Phone/Fax

Practice location:
  • Phone: 757-377-1860
  • Fax:
Mailing address:
  • Phone: 571-842-9748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. JODY ALPERIN
Title or Position: LICENSED CLINICAL PSYCHOLOGIST
Credential: PSY.D.
Phone: 757-377-1860