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KEITH D RENSHAW PH.D.
NPI 1558643502
Psychologist - Clinical in Fairfax, VA

Active since September 15, 2011
10340 DEMOCRACY LN, STE 202, FAIRFAX, VA 22030(703) 993-5128(703) 993-1359 Get Directions Write a Review

NPPES record last updated: September 15, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Keith D Renshaw Ph.d. NPPES

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

KEITH D RENSHAW PH.D. (NPI 1558643502) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810004355) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1558643502
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameKEITH D RENSHAWCredential: PH.D.
Location Address10340 DEMOCRACY LN, STE 202Fairfax, VA 22030-2518
Mailing Address4400 University Dr, Msn3f5 Department Of PsychologyFairfax, VA 22030-4444 · (703) 993-5128 · Fax (703) 993-1359
Phone(703) 993-5128
Fax(703) 993-1359
Sole ProprietorYes
Enumeration DateSeptember 15, 2011
✔ NPI 1558643502 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 · 0810004355
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.
10340 DEMOCRACY LN, Fairfax, VA 22030
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Other Providers at the Same Location NPPES 10

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

DR. JOHN JOSEPH MATHEWS JR.
Internal Medicine
10340 DEMOCRACY LN, SUITE 102
FAIRFAX, VA 22030
Fairfax City (703) 218-2970
FAROUK ELKASSED DPT
Physical Therapist
10340 DEMOCRACY LN, SUITE 106
FAIRFAX, VA 22030
Fairfax City (703) 865-5538
GEORGE MASON UNIVERSITY CENTER FOR PSYCHOLOGICAL SERVICES
Community/Behavioral Health
10340 DEMOCRACY LN, SUITE 202
FAIRFAX, VA 22030
Fairfax City (703) 993-1370
DAWNA FARRAR THOMPSON PH.D.
Psychologist (Clinical)
10340 DEMOCRACY LN
FAIRFAX, VA 22030
Fairfax City (703) 993-4731
CARE PLUS HEALTH AND WELLNESS, INC.
Chiropractor
10340 DEMOCRACY LN, SUITE 104
FAIRFAX, VA 22030
Fairfax City (703) 385-4773
ABOVE AND BEYOND ABA VA LLC
Behavior Analyst
10340 DEMOCRACY LN
FAIRFAX, VA 22030
Fairfax City (276) 305-2872
BETHLEHEM SOLOMON
Behavior Technician
10340 DEMOCRACY LN
FAIRFAX, VA 22030
Fairfax City (571) 386-0871
ACCESS PHYSICAL THERAPY, LLC
Physical Therapist
10340 DEMOCRACY LN, SUITE 106
FAIRFAX, VA 22030
Fairfax City (703) 865-5538

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 Keith Renshaw's NPI number?

The NPI number for Keith Renshaw is 1558643502. It was assigned to this individual provider in the NPPES registry on September 15, 2011.

Where is Keith Renshaw located?

Keith Renshaw practices at 10340 Democracy Ln Ste 202, Fairfax, VA 22030. The listed phone number is (703) 993-5128.

What is Keith Renshaw'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 Keith Renshaw was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.