DR. NICOLE BEADLES PHD
NPI 1194189944
Psychologist in Fairfax, VA

Active since April 07, 2016
3925 BLENHEIM BLVD STE 52A, FAIRFAX, VA 22030(571) 354-0844 Get Directions Write a Review

NPPES record last updated: July 18, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Nicole Beadles Phd NPPES

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

DR. NICOLE BEADLES PHD (NPI 1194189944) is an individual psychologist in Fairfax, Virginia, licensed in Virginia (0810003878) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1194189944
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameDR. NICOLE BEADLESCredential: PHD
Location Address3925 BLENHEIM BLVD STE 52AFairfax, VA 22030-2426
Mailing Address1517 Inlet CtReston, VA 20190-4422 · (571) 354-0844
Sole ProprietorNo
Enumeration DateApril 7, 2016
Last NPPES UpdateJuly 18, 2023
NPPES CertifiedJuly 18, 2023
NPI 1194189944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in VA · 0810003878
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
3925 BLENHEIM BLVD STE 52A, Fairfax, VA 22030

Other Providers at the Same Location NPPES 2

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

Clinic/Center (Adult Mental Health)
3925 BLENHEIM BLVD STE 52A
FAIRFAX, VA 22030
Counselor (Mental Health)
3925 BLENHEIM BLVD STE 52A
FAIRFAX, VA 22030

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 Nicole Beadles's NPI number?

The NPI number for Nicole Beadles is 1194189944. It was assigned to this individual provider in the NPPES registry on April 7, 2016.

Where is Nicole Beadles located?

Nicole Beadles practices at 3925 Blenheim Blvd Ste 52A, Fairfax, VA 22030. The listed phone number is (571) 354-0844.

What is Nicole Beadles's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Nicole Beadles was last updated on July 18, 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.