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PEAK PERFORMANCE NEUROFEEDBACK, LLC
NPI 1275913436
Clinic/Center - Adolescent and Children Mental Health in Herndon, VA

Active since June 03, 2015
13800 COPPERMINE RD, SUITE 183, HERNDON, VA 20171(619) 540-3235(703) 234-2213 Get Directions Write a Review

NPPES record last updated: August 29, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2016, Dec 2, 2015 (2 updates tracked since 2015).

About Peak Performance Neurofeedback, Llc NPPES

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

PEAK PERFORMANCE NEUROFEEDBACK, LLC (NPI 1275913436) is a healthcare organization registered as an adolescent and children mental health in Herndon, Virginia and active in the NPI registry since June 2015. The organization lists Beth B Davis, Psychologist/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1275913436
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NamePEAK PERFORMANCE NEUROFEEDBACK, LLC
Location Address13800 COPPERMINE RD, SUITE 183Herndon, VA 20171-6163
Mailing Address13800 Coppermine Rd, Suite 183Herndon, VA 20171-6163 · (619) 540-3235 · Fax (703) 234-2213
Phone(619) 540-3235
Fax(703) 234-2213
Organization SubpartNo
Authorized OfficialBeth B DavisPsychologist/clinical Director · (619) 540-3235
Enumeration DateJune 3, 2015
Last NPPES UpdateAugust 29, 20162 updates tracked since enumeration
✔ NPI 1275913436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
License✔ Licensed in VA · 0810004027
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.
Also ListedClinic/Center · Health ServiceTaxonomy 261QH0100X · License 0810004027 (VA)
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X · License 0810004027 (VA)
13800 COPPERMINE RD, Herndon, VA 20171
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Other Providers at the Same Location NPPES 16

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

KRISTINA MENDOZA
Behavior Technician
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (718) 215-5311
KIND-CARE
In Home Supportive Care
13800 COPPERMINE RD, STE 148
HERNDON, VA 20171
Fairfax County (866) 769-6746
DR. BETH BREECE DAVIS PHD
Psychologist (Health)
13800 COPPERMINE RD, SUITE 183
HERNDON, VA 20171
Fairfax County (619) 540-3235
JUAN P DACOSTA
Non-emergency Medical Transport (VAN)
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (804) 446-0975
SAHRA M ISMAIL
Home Health Aide
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (571) 308-5892
OURKARE, LLC
In Home Supportive Care
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (844) 687-5273
JOHN R JOHNSON III M.S
Behavior Technician
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (718) 215-5311
KOYASI VICTOR SEBAKIJJE
Behavior Technician
13800 COPPERMINE RD
HERNDON, VA 20171
Fairfax County (718) 215-5311

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 Peak Performance Neurofeedback, LLC's NPI number?

The NPI number for Peak Performance Neurofeedback, LLC is 1275913436. It was assigned to this organization in the NPPES registry on June 3, 2015.

Where is Peak Performance Neurofeedback, LLC located?

Peak Performance Neurofeedback, LLC is located at 13800 Coppermine Rd Suite 183, Herndon, VA 20171. The listed phone number is (619) 540-3235.

What is Peak Performance Neurofeedback, LLC'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 Peak Performance Neurofeedback, LLC was last updated on August 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.