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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KEATON SOMERVILLE PHD
NPI 1396354072
Psychologist - Clinical in Fairfax, VA

Active since July 28, 2020
3923 BLENHEIM BLVD STE 62D, FAIRFAX, VA 22030(571) 520-5454 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 13, 2026, Jul 28, 2020 (2 updates tracked since 2020).

About Keaton Somerville Phd NPPES

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

KEATON SOMERVILLE PHD (NPI 1396354072) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (810009390) and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1396354072
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameKEATON SOMERVILLECredential: PHD
Location Address3923 BLENHEIM BLVD STE 62DFairfax, VA 22030-2428
Mailing Address3923 Blenheim Blvd Ste 62dFairfax, VA 22030-2428
Phone(571) 520-5454
Sole ProprietorNo
Enumeration DateJuly 28, 2020
Last NPPES UpdateAugust 13, 20262 updates tracked since enumeration
NPPES CertifiedAugust 13, 2026
✔ NPI 1396354072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 810009390
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3923 BLENHEIM BLVD STE 62D, Fairfax, VA 22030
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Other Identifiers 1

OtherVH617031OH · Drivers License

Other Providers at the Same Location NPPES 2

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

JESSICA MOORE
Counselor (Mental Health)
3923 BLENHEIM BLVD STE 62D
FAIRFAX, VA 22030
Fairfax City (571) 520-5454
DR. PATRICIA BEATRIZ PEDREIRA ABREU PHD
Psychologist (Clinical)
3923 BLENHEIM BLVD STE 62D
FAIRFAX, VA 22030
Fairfax City (571) 520-3839

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 Keaton Somerville's NPI number?

The NPI number for Keaton Somerville is 1396354072. It was assigned to this individual provider in the NPPES registry on July 28, 2020.

Where is Keaton Somerville located?

Keaton Somerville practices at 3923 Blenheim Blvd Ste 62D, Fairfax, VA 22030. The listed phone number is (571) 520-5454.

What is Keaton Somerville's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Keaton Somerville was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.