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KEITH K. EWELL, PH.D.
NPI 1265835219
Clinic/Center - Adolescent and Children Mental Health in Fairfax, VA

Active since October 06, 2014
12700 SABASTIAN DR, FAIRFAX, VA 22030(703) 322-0701 Get Directions Write a Review

NPPES record last updated: October 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keith K. Ewell, Ph.d. NPPES

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

KEITH K. EWELL, PH.D. (NPI 1265835219) is a healthcare organization registered as an adolescent and children mental health in Fairfax, Virginia and active in the NPI registry since October 2014. The organization lists Keith K. Ewell, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1265835219
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameKEITH K. EWELL, PH.D.
Location Address12700 SABASTIAN DRFairfax, VA 22030-6610
Mailing Address12700 Sabastian DrFairfax, VA 22030-6610 · (703) 322-0701
Phone(703) 322-0701
Organization SubpartNo
Authorized OfficialKeith K. EwellLicensed Clinical Psychologist · (703) 322-0701
Enumeration DateOctober 6, 2014
✔ NPI 1265835219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in VA · 0810002479
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
12700 SABASTIAN DR, Fairfax, VA 22030
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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 Keith K. Ewell, Ph.D.'s NPI number?

The NPI number for Keith K. Ewell, Ph.D. is 1265835219. It was assigned to this organization in the NPPES registry on October 6, 2014.

Where is Keith K. Ewell, Ph.D. located?

Keith K. Ewell, Ph.D. is located at 12700 Sabastian Dr, Fairfax, VA 22030. The listed phone number is (703) 322-0701.

What is Keith K. Ewell, Ph.D.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Keith K. Ewell, Ph.D. was last updated on October 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.