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STEPHANIE FELLENBERG PSYD
NPI 1447348198
Psychologist - Clinical in Lake Ridge, VA

Active since October 10, 2006
2239F TACKETTS MILL DR, PSYCHOLOGICAL & LIFE SKILLS ASSOC PC, LAKE RIDGE, VA 22192(703) 490-0336(703) 490-4525 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Stephanie Fellenberg Psyd NPPES

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

STEPHANIE FELLENBERG PSYD (NPI 1447348198) is an individual clinical provider in Lake Ridge, Virginia, licensed in Virginia (0810003529) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1447348198
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameSTEPHANIE FELLENBERGCredential: PSYD
Location Address2239F TACKETTS MILL DR, PSYCHOLOGICAL & LIFE SKILLS ASSOC PCLake Ridge, VA 22192
Mailing Address2239f Tacketts Mill Dr, Psychological & Life Skills Assoc PcLake Ridge, VA 22192 · (703) 490-0336 · Fax (703) 490-4525
Phone(703) 490-0336
Fax(703) 490-4525
Sole ProprietorNo
Enumeration DateOctober 10, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1447348198 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 · 0810003529
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.
2239F TACKETTS MILL DR, Lake Ridge, VA 22192
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Other Names 1

Former Name (1)Stephanie Taylor

Other Identifiers 3

Other178511VA · Anthem Bcbs
Medicare ID-Type Unspecified23570022VA
Other23570022VA · Carefirst

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.

DONNA L PRICE LPC
Psychologist
2239F TACKETTS MILL DR, PSYCHOLOGICAL & LIFE SKILLS ASSOC PC
LAKE RIDGE, VA 22192
Prince William County (703) 490-0336
KIMBERLY STRAND PHD
Psychologist (Clinical)
2239F TACKETTS MILL DR, PSYCHOLOGICAL & LIFE SKILLS ASSOC PC
LAKE RIDGE, VA 22192
Prince William County (703) 490-0336

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 Stephanie Fellenberg's NPI number?

The NPI number for Stephanie Fellenberg is 1447348198. It was assigned to this individual provider in the NPPES registry on October 10, 2006. The provider is also known as Stephanie Taylor.

Where is Stephanie Fellenberg located?

Stephanie Fellenberg practices at 2239F Tacketts Mill Dr Psychological & Life Skills Assoc PC, Lake Ridge, VA 22192. The listed phone number is (703) 490-0336.

What is Stephanie Fellenberg'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 Stephanie Fellenberg was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.