Healthcare Provider Details

I. General information

NPI: 1548940141
Provider Name (Legal Business Name): EXPAND PSYCHOLOGY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/19/2023
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N WASHINGTON ST SUITE 202
FALLS CHURCH VA
22046-3441
US

IV. Provider business mailing address

300 N WASHINGTON ST SUITE 202
FALLS CHURCH VA
22046-3441
US

V. Phone/Fax

Practice location:
  • Phone: 703-618-0900
  • Fax:
Mailing address:
  • Phone: 703-618-0900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 5
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State

VIII. Authorized Official

Name: DR. ERIN KATHLEEN O'MEARA
Title or Position: DIRECTOR
Credential: PSY.D.
Phone: 571-228-2965