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

Jeanine Ruth Carlson, PHD

Individual provider Clinical Psychologist · NPI 1972794642

Jeanine Ruth Carlson, PHD is a Clinical Psychologist in Mc Lean, Virginia. Qualified in 1979, 47 years ago. Practices as a sole proprietor and offers telehealth. Licensed in Virginia.

Years since qualifying
47
Licensed in
VA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1487 Chain Bridge Rd Ste 202
Mc Lean, VA 22101-5723
Phone: (703) 919-0917
Fax: (703) 536-4693
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 2073 (VA)

Record details

NPI number1972794642
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 7, 2007
Last updated in NPPESSeptember 11, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1979 (47 years in practice)
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services

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