CLINICAL PSYCHOLOGY SERVICES PC
NPI 1194818054
Psychologist - Clinical in Fairfax, VA
About Clinical Psychology Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLINICAL PSYCHOLOGY SERVICES PC (NPI 1194818054) is a healthcare organization registered as a clinical in Fairfax, Virginia and active in the NPI registry since October 2006. The organization lists David W Ruxer, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clinical Psychology Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Clinical Psychology Services PC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (15)
Washington, DC 20505
Media, PA 19063
Kennewick, WA 99336
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 PC's NPI number?
The NPI number for Clinical Psychology Services PC is 1194818054. It was assigned to this organization in the NPPES registry on October 2, 2006.
Where is Clinical Psychology Services PC located?
Clinical Psychology Services PC is located at 11130 Fairfax Blvd Ste 305, Fairfax, VA 22030. The listed phone number is (703) 691-1326.
What is Clinical Psychology Services PC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Clinical Psychology Services PC enrolled in Medicare?
Yes. Clinical Psychology Services PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clinical Psychology Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians, all in Clinical Psychologist, reassign their Medicare billing to Clinical Psychology Services PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 8 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Clinical Psychology Services PC was last updated on April 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Clinical Psychology Services Pc · NPI 1194818054
Clinical organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since October 2, 2006.
## Identity
- **NPI:** 1194818054 (Entity type: Organization)
- **Enumerated:** October 2, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** David Ruxer, PRESIDENT
## Practice location
- **Address:** 11130 FAIRFAX BLVD, STE 305, Fairfax, VA 22030-5035
- **Phone:** (703) 691-1326 · **Fax:** (703) 691-3553
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians (Clinical Psychologist) reassign Medicare billing to this organization (form CMS-855R); 8 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2013
- **Other identifiers:** Medicare PIN 647334 (VA); Medicaid 007799195 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1194818054) · Data from the CMS NPPES public registry.