ERIKA PRUETT PSY.D.
NPI 1376172353
Psychologist in Fairfax, VA

Active since April 02, 2020PECOS Enrolled
11204 WAPLES MILL RD, FAIRFAX, VA 22030(703) 218-8500(703) 359-0463 Get Directions Write a Review

NPPES record last updated: May 4, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2026, Oct 13, 2022, Jun 6, 2022 and 1 more (4 updates tracked since 2020).

About Erika Pruett Psy.d. NPPES

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

ERIKA PRUETT PSY.D. (NPI 1376172353) is an individual psychologist in Fairfax, Virginia, licensed in Virginia (0810008170) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fairfax.

NPPES Registry Identity

NPI1376172353
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameERIKA PRUETTCredential: PSY.D.
Location Address11204 WAPLES MILL RDFairfax, VA 22030-6036
Mailing Address11204 Waples Mill RdFairfax, VA 22030-6036 · (703) 218-8500 · Fax (703) 359-0463
Fax(703) 359-0463
Sole ProprietorNo
Enumeration DateApril 2, 2020
Last NPPES UpdateMay 4, 20264 updates tracked since enumeration
NPPES CertifiedMay 4, 2026
✔ NPI 1376172353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in VA · 0810008170
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
11204 WAPLES MILL RD, Fairfax, VA 22030

Secondary Practice Location 1

Location 18221 Willow Oaks Corporate Dr Ste 4-425Fairfax, VA 22031-4512 · Phone (703) 289-7599 · Fax (703) 289-4612

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Erika Pruett Psy.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Erika Pruett reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 282 clinicians in this Medicare group
Clinic/Center
1493 CAMBRIDGE ST
Cambridge, MA 02139
  • Reassigned Medicare billing, Massachusetts enrollment
  • 362 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Counselor (Mental Health)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Social Worker (Clinical)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Psychiatry & Neurology (Child & Adolescent Psychiatry)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Psychologist (Clinical Child & Adolescent)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Counselor (Professional)
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Counselor
11204 WAPLES MILL RD
FAIRFAX, VA 22030
Psychologist (Clinical Child & Adolescent)
11204 WAPLES MILL RD
FAIRFAX, VA 22030

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 Erika Pruett's NPI number?

The NPI number for Erika Pruett is 1376172353. It was assigned to this individual provider in the NPPES registry on April 2, 2020.

Where is Erika Pruett located?

Erika Pruett practices at 11204 Waples Mill Rd, Fairfax, VA 22030. The listed phone number is (703) 218-8500.

What is Erika Pruett's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Erika Pruett enrolled in Medicare?

Yes. Erika Pruett is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Erika Pruett's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Erika Pruett reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Cambridge Public Health Commission (Cambridge, MA). Each 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 Erika Pruett's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Erika Pruett was last updated on May 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.