CLINICAL PSYCHOLOGY SERVICES
NPI 1184034779
Psychologist - Clinical in Fairfax, VA

Q: What is Clinical Psychology Services's NPI number?

The NPI number for Clinical Psychology Services is 1184034779. It was assigned to this organization in the NPPES registry on May 5, 2014.

Q: What is Clinical Psychology Services's specialty?

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

Active since May 05, 2014

11130 FAIRFAX BLVD, ST. 305, FAIRFAX, VA 22030(703) 691-1326 Get Directions Write a Review

NPPES record last updated: May 5, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Clinical Psychology Services NPPES

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

CLINICAL PSYCHOLOGY SERVICES (NPI 1184034779) is a healthcare organization registered as a clinical in Fairfax, Virginia and active in the NPI registry since May 2014. The organization lists David William Ruxer, Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1184034779

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameCLINICAL PSYCHOLOGY SERVICES

Location Address11130 FAIRFAX BLVD, ST. 305Fairfax, VA 22030-5035

Mailing Address11130 Fairfax Blvd, St. 305Fairfax, VA 22030-5035

Phone(703) 691-1326

Organization SubpartNo

Authorized OfficialDavid William RuxerClinical Psychologist · (703) 691-1326

Enumeration DateMay 5, 2014

✔ NPI 1184034779 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.

11130 FAIRFAX BLVD, Fairfax, VA 22030

Open in Google Maps ↗

Other Identifiers 2

Medicare PIN721411800398

Medicare UPIN721411800398VA

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 6

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

ABDULLAH MOHAMMED ABDULRAZZAQ

Behavior Technician

11130 FAIRFAX BLVD
FAIRFAX, VA 22030

Fairfax City (571) 918-9977

DR. STACEY M RUMERMAN PSY.D.

Psychologist (Clinical)

11130 FAIRFAX BLVD, SUITE 350
FAIRFAX, VA 22030

Fairfax City (703) 691-1326

CLINICAL PSYCHOLOGY SERVICES PC

Psychologist (Clinical)

11130 FAIRFAX BLVD, STE 305
FAIRFAX, VA 22030

Fairfax City (703) 691-1326

DEEP ROOTS PERIODONTICS PLLC

Dentist (Periodontics)

11130 FAIRFAX BLVD, SUITE 100
FAIRFAX, VA 22030

Fairfax City (954) 536-1111

DR. THOMAS GERARD VACCARO D.D.S.

Dentist

11130 FAIRFAX BLVD
FAIRFAX, VA 22030

Fairfax City (703) 591-1007

ALLIED HEALTH CARE LLC

Home Health

11130 FAIRFAX BLVD
FAIRFAX, VA 22030

Fairfax City (240) 575-4698

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 Clinical Psychology Services's NPI number?

The NPI number for Clinical Psychology Services is 1184034779. It was assigned to this organization in the NPPES registry on May 5, 2014.

Where is Clinical Psychology Services located?

Clinical Psychology Services is located at 11130 Fairfax Blvd St. 305, Fairfax, VA 22030. The listed phone number is (703) 691-1326.

What is Clinical Psychology Services'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 Clinical Psychology Services was last updated on May 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.