MEDICARE: NOVA PSYCHOTHERAPY AND ASSESSMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1477416956
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NOVA PSYCHOTHERAPY AND ASSESSMENT

Provider Business Mailing Address
First Line	:	20 E BELLEFONTE AVE
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22301-1433
Country	:	US
Telephone Number	:	571-842-9748
Fax Number	:

Provider Business Practice Location Address
First Line	:	2121 EISENHOWER AVE STE 301
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-4688
Country	:	US
Telephone Number	:	757-377-1860
Fax Number	:

Authorized Official
Title or Position	:	LICENSED CLINICAL PSYCHOLOGIST
Name	:	DR. JODY ALPERIN
Credential	:	PSY.D.
Telephone Number	:	757-377-1860

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/15/2025

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