DISCOVERY MOOD & ANXIETY PROGRAM, FAIRFAX OP
NPI 1063072684
Psychiatric Residential Treatment Facility in Fairfax, VA

Active since June 17, 2019CLIA 05D2332128 · Waiver
10340 DEMOCRACY LN STE 204, FAIRFAX, VA 22030(714) 828-1800(714) 882-1186 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 9, 2023, Jun 17, 2019 (2 updates tracked since 2019).

About Discovery Mood & Anxiety Program, Fairfax Op NPPES

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

DISCOVERY MOOD & ANXIETY PROGRAM, FAIRFAX OP (NPI 1063072684) is a healthcare organization registered as a psychiatric residential treatment facility in Fairfax, Virginia and active in the NPI registry since June 2019. The organization holds a CLIA Waiver certificate valid through October 13, 2027 and lists Magdalen Gustilo, Director Of Payer Relations, as its authorized official.

NPPES Registry Identity

NPI1063072684
Entity TypeOrganization
Primary Taxonomy323P00000X
Legal Business NameDISCOVERY PRACTICE MANAGEMENT, INC.
Location Address10340 DEMOCRACY LN STE 204Fairfax, VA 22030-2518
Mailing Address18401 Von Karman Ave Ste 500Irvine, CA 92612-8531 · (714) 828-1800 · Fax (714) 882-1186
Fax(714) 882-1186
Organization SubpartYes
Authorized OfficialMagdalen GustiloDirector Of Payer Relations · (714) 568-7667
Enumeration DateJune 17, 2019
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1063072684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric Residential Treatment FacilityResidential Treatment Facilities
Taxonomy Code323P00000X
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
10340 DEMOCRACY LN STE 204, Fairfax, VA 22030

Other Names 1

Doing Business AsDiscovery Mood & Anxiety Program, Fairfax Op

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2332128

Discovery Practice Management, Inc · Orange, CA
Active · expires Oct 13, 2027
CLIA Number05D2332128
Laboratory TypeResidential Treatment Fac
Certificate Effective DateOctober 14, 2025
Certificate Expiration DateOctober 13, 2027
Laboratory DirectorSheena Malik
Laboratory Phone(714) 828-1800
Laboratory LocationDiscovery Practice Management, Inc2629 East Chapman Avenue, Orange, CA 92869
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Discovery Practice Management, Inc.'s NPI number?

The NPI number for Discovery Practice Management, Inc. is 1063072684. It was assigned to this organization in the NPPES registry on June 17, 2019. The provider is doing business as Discovery Mood & Anxiety Program, Fairfax Op.

Where is Discovery Practice Management, Inc. located?

Discovery Practice Management, Inc. is located at 10340 Democracy Ln Ste 204, Fairfax, VA 22030. The listed phone number is (714) 828-1800.

What is Discovery Practice Management, Inc.'s specialty?

The primary specialty registered for this NPI is Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

Does Discovery Practice Management, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2332128) is associated with this NPI, valid through October 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Discovery Practice Management, Inc. was last updated on May 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.