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

Mirjana Ivanisevic, PHD

Individual provider Clinical Psychologist · NPI 1326770603

Mirjana Ivanisevic, PHD is a Clinical Psychologist in Falls Church, Virginia. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 2020, 6 years ago. Practices with Inova Health Care Services, a 1,827-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
6
Trained at
University of Kansas School of Med (KC/WICH/SAL)
Licensed in
VA
In the registry since
2022
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

3300 Gallows Rd
Falls Church, VA 22042-3307
Phone: (678) 697-7240
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 0810007786 (VA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810007786 (VA)

Record details

NPI number1326770603
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 27, 2022
Last updated in NPPESSeptember 9, 2022
Certification dateSeptember 9, 2022

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolUNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL)
Graduated 2020 (6 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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