Old Town Professional Psychology
NPI 1366063992 · Clinical Psychologist · Alexandria, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Old Town Professional Psychology is a Clinical Psychologist organization in Alexandria, VA (NPI 1366063992).
Provider details
- NPI number
- 1366063992
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Sundar Cook, Psychologist(540) 931-5238
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychoanalyst102L00000X
Behavioral Health & Social Service Providers
- Clinical Neuropsychologist103G00000X
Behavioral Health & Social Service Providers
- Psychoanalysis Psychologist103TP0814X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-05-05
- Last updated
- 2020-05-13
- Certified
- 2020-05-13
Frequently asked questions
- What is Old Town Professional Psychology's NPI number?
- Old Town Professional Psychology's National Provider Identifier (NPI) is 1366063992, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Old Town Professional Psychology?
- Old Town Professional Psychology is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Old Town Professional Psychology located?
- Old Town Professional Psychology's practice location on file with NPPES is 411 1/2 N Washington St, Alexandria, VA 22314-2311.
- What is Old Town Professional Psychology's phone number?
- The practice phone number listed in the NPPES registry for Old Town Professional Psychology is (571) 327-0194.
- Does Old Town Professional Psychology accept Medicare?
- Old Town Professional Psychology is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Old Town Professional Psychology?
- The authorized official listed on Old Town Professional Psychology's NPPES record is Sundar Cook, Psychologist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Old Town Professional Psychology's NPI active?
- Yes — Old Town Professional Psychology's NPI (1366063992) is active in the NPPES registry as of the last update on 2020-05-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.