PARADOX MENTAL HEALTH
NPI 1316712854
Nurse Practitioner - Psychiatric/Mental Health in Woodbridge, VA

Active since November 15, 2023
12872 HARBOR DR, WOODBRIDGE, VA 22192(571) 946-5512(571) 376-6506 Get Directions Write a Review

NPPES record last updated: July 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 9, 2024, Jan 5, 2024, Nov 15, 2023 (3 updates tracked since 2023).

About Paradox Mental Health NPPES

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

PARADOX MENTAL HEALTH (NPI 1316712854) is a healthcare organization registered as a psychiatric/mental health in Woodbridge, Virginia and active in the NPI registry since November 2023. The organization lists Stephanie Davila, Owner, as its authorized official.

NPPES Registry Identity

NPI1316712854
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePARADOX MENTAL HEALTH
Location Address12872 HARBOR DRWoodbridge, VA 22192-2921
Mailing Address6857 Jockey Club LnHaymarket, VA 20169-2979 · (703) 932-9964
Fax(571) 376-6506
Organization SubpartNo
Authorized OfficialStephanie DavilaOwner · (703) 932-9964
Enumeration DateNovember 15, 2023
Last NPPES UpdateJuly 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
✔ NPI 1316712854 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
12872 HARBOR DR, Woodbridge, VA 22192

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paradox Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Paradox Mental Health, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1225762461
2241M TACKETTS MILL DR
Woodbridge, VA 22192
(571) 777-0970
✔ PECOS✔ Accepts Medicare0.1 mi

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 Paradox Mental Health's NPI number?

The NPI number for Paradox Mental Health is 1316712854. It was assigned to this organization in the NPPES registry on November 15, 2023.

Where is Paradox Mental Health located?

Paradox Mental Health is located at 12872 Harbor Dr, Woodbridge, VA 22192. The listed phone number is (571) 946-5512.

What is Paradox Mental Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Paradox Mental Health enrolled in Medicare?

Yes. Paradox Mental Health is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Paradox Mental Health?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Paradox Mental Health. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Paradox Mental Health was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.