Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Self Knowledge Base and Foundation

Organization Clinical Psychologist · NPI 1780467993

Self Knowledge Base and Foundation is a Clinical Psychologist in Ashburn, Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

43803 Michener Dr
Ashburn, VA 20147-5807
Phone: (703) 443-4924
Fax: (703) 775-1560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X

Record details

NPI number1780467993
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michelle Rad — Founder, Licensed Clinical Psycholo · (443) 937-3183
NPI enumeratedAugust 14, 2023
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026
Mailing address43803 Michener Dr, Ashburn, VA 20147-5807

Other providers in Ashburn