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COLLABORATIVE SUPPORT PSYCHOLOGICAL SERVICES PLLC
NPI 1033812045
Psychologist - Clinical in Reston, VA

Active since March 27, 2023
1224 BISHOPSGATE WAY, RESTON, VA 20194(703) 915-3025 Get Directions Write a Review

NPPES record last updated: March 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Collaborative Support Psychological Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLABORATIVE SUPPORT PSYCHOLOGICAL SERVICES PLLC (NPI 1033812045) is a healthcare organization registered as a clinical in Reston, Virginia and active in the NPI registry since March 2023. The organization lists Aneta Kern, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1033812045
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameCOLLABORATIVE SUPPORT PSYCHOLOGICAL SERVICES PLLC
Location Address1224 BISHOPSGATE WAYReston, VA 20194-1414
Mailing Address1224 Bishopsgate WayReston, VA 20194-1414
Phone(703) 915-3025
Organization SubpartNo
Authorized OfficialAneta KernPsychologist · (703) 915-3025
Enumeration DateMarch 27, 2023
NPPES CertifiedMarch 27, 2023
✔ NPI 1033812045 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1224 BISHOPSGATE WAY, Reston, VA 20194
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ANETA KERN PH.D.
Psychologist (Clinical)
1224 BISHOPSGATE WAY
RESTON, VA 20194
Fairfax County (703) 915-3025

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Collaborative Support Psychological Services PLLC's NPI number?

The NPI number for Collaborative Support Psychological Services PLLC is 1033812045. It was assigned to this organization in the NPPES registry on March 27, 2023.

Where is Collaborative Support Psychological Services PLLC located?

Collaborative Support Psychological Services PLLC is located at 1224 Bishopsgate Way, Reston, VA 20194. The listed phone number is (703) 915-3025.

What is Collaborative Support Psychological Services PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Collaborative Support Psychological Services PLLC was last updated on March 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.