GEORGE MASON UNIVERSITY CENTER FOR PSYCHOLOGICAL SERVICES
NPI 1295852622
Community/Behavioral Health in Fairfax, VA

NPI Status: Active since March 22, 2007

Contact Information

10340 DEMOCRACY LN
SUITE 202
FAIRFAX, VA
ZIP 22030
Phone: (703) 993-1370
Fax: (703) 993-0035

NPI Profile Information
Primary Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Community/Behavioral Health
CLIA Number: 49D2274829
CLIA Cert. Type: Other - EMPLOYEE HEALTH
CLIA Exp. Date: 01-10-2027

About GEORGE MASON UNIVERSITY CENTER FOR PSYCHOLOGICAL SERVICES

This page provides the complete NPI Profile along with additional information for George Mason University Center For Psychological Services, a provider established in Fairfax, Virginia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1295852622 assigned on March 2007. The practitioner's primary taxonomy code is 251S00000X. The provider is registered as an organization and their NPI record was last updated 15 years ago. The authorized official of this NPI record is Dr. Robyn S Mehlenbeck Ph.d. (Director)

NPI: 1295852622
Provider Name: GEORGE MASON UNIVERSITY CENTER FOR PSYCHOLOGICAL SERVICES
Entity Type: Organization
Location Address: 10340 DEMOCRACY LN SUITE 202 FAIRFAX, VA 22030
Location Phone: (703) 993-1370
Location Fax: (703) 993-0035
Mailing Address: 4400 UNIVERSITY DRIVE GEORGE MASON UNIVERSITY, MS2C6 FAIRFAX, VA 22030
Mailing Phone: (703) 993-1370
Mailing Fax: (703) 993-0035
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 03-22-2007
Last Update Date: 06-30-2010
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Community/Behavioral Health
Taxonomy Code: 251S00000X
Type: Agencies
Taxonomy Description: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: DR. ROBYN S MEHLENBECK PH.D.
Authorized Official Title: DIRECTOR
Authorized Official Phone: (703) 993-1371

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 49D2274829
Facility Type: Other - EMPLOYEE HEALTH
Certificate Effective Date: January 11, 2025
Certificate Expiration Date: January 10, 2027
Laboratory Director: ANGELA CHEZEM
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to George Mason University Center For Psychological Services to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	9	5	8	5	2	6	2	2
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	18	5	16	5	4	6	4
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 8 + 5 + 1 + 6 + 5 + 4 + 6 + 4 + 24 = 68
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 68 = 2									2

The NPI number 1295852622 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 10 providers are registered at the same or nearby location.

ACCESS PHYSICAL THERAPY, LLC

Physical Therapist

10340 DEMOCRACY LN
SUITE 106
FAIRFAX, VA
ZIP 22030

(703) 865-5538

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KEITH D RENSHAW PH.D.

Psychologist

(Clinical)

10340 DEMOCRACY LN
STE 202
FAIRFAX, VA
ZIP 22030

(703) 993-5128

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DR. JOHN JOSEPH MATHEWS JR.

Internal Medicine

10340 DEMOCRACY LN
SUITE 102
FAIRFAX, VA
ZIP 22030

(703) 218-2970

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CARE PLUS HEALTH AND WELLNESS, INC.

Chiropractor

10340 DEMOCRACY LN
SUITE 104
FAIRFAX, VA
ZIP 22030

(703) 385-4773

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FAROUK ELKASSED DPT

Physical Therapist

10340 DEMOCRACY LN
SUITE 106
FAIRFAX, VA
ZIP 22030

(703) 865-5538

View Profile

BETHLEHEM SOLOMON

Behavior Technician