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DR. CHARLES CUTEZ WALLER PSY.D.
NPI 1659866556
Psychologist - Clinical in Fairfax, VA

Active since June 25, 2018PECOS Enrolled
8221 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031(703) 559-3000 Get Directions Write a Review

NPPES record last updated: May 27, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 27, 2026, Aug 24, 2023, Dec 27, 2022 and 1 more (4 updates tracked since 2018).

About Dr. Charles Cutez Waller Psy.d. NPPES

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

DR. CHARLES CUTEZ WALLER PSY.D. (NPI 1659866556) is an individual clinical provider in Fairfax, Virginia, licensed in Virginia (0810008049) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS and maintains a secondary practice location in Manassas.

NPPES Registry Identity

NPI1659866556
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. CHARLES CUTEZ WALLERCredential: PSY.D.
Location Address8221 WILLOW OAKS CORPORATE DRFairfax, VA 22031-4512
Mailing Address8221 Willow Oaks Corporate DrFairfax, VA 22031-4512
Phone(703) 559-3000
Sole ProprietorNo
Enumeration DateJune 25, 2018
Last NPPES UpdateMay 27, 20264 updates tracked since enumeration
NPPES CertifiedMay 27, 2026
✔ NPI 1659866556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810008049
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
8221 WILLOW OAKS CORPORATE DR, Fairfax, VA 22031
Open in Google Maps ↗

Secondary Practice Location 1

Location 18140 Ashton Ave Ste 200Manassas, VA 20109-5701 · Phone (703) 330-9933

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Charles Cutez Waller 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 Charles Waller reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Inova Health Care Services
0.6 mi
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 282 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627
Fairfax County, Virginia
7.0 mi
Mental Health (Including Community Mental Health Center)
12011 GOVERNMENT CENTER PARKWAY, SUITE 836
Fairfax, VA 22035
  • Reassigned Medicare billing, District of Columbia enrollment
  • Medicare enrollment name: Director Of Finance-County Of Fairfax Va
  • 383 clinicians in this Medicare group
NPI 1154356244 (703) 324-7000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
69 services14 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
19 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22031 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$194.86 typical visit price
range $65.18 – $194.86
Typical copayment $48.71 (range $16.29 – $48.71)
Most-billed visit code 99205
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

CONNIE LEE MD
Psychiatry & Neurology (Psychiatry)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
NEIGHBORHOOD HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 535-5568
FELICIA ABOAGYE LNP
Nurse Practitioner (Psychiatric/Mental Health)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
TRISHA MARIE HINDY BURKS LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
ZACHARY DALE LANDAU
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000
GENOA HEALTHCARE LLC
Pharmacy (Long Term Care Pharmacy)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 852-0041
ANNA LEE KOOZMIN MSW, LCSW, LICSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 324-7100
JULIA LYNN CONVERSE LCSW
Social Worker (Clinical)
8221 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031
Fairfax County (703) 559-3000

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 Charles Waller's NPI number?

The NPI number for Charles Waller is 1659866556. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Charles Waller located?

Charles Waller practices at 8221 Willow Oaks Corporate Dr, Fairfax, VA 22031. The listed phone number is (703) 559-3000.

What is Charles Waller's specialty?

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

Is Charles Waller enrolled in Medicare?

Yes. Charles Waller is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Charles Waller's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Charles Waller reassigns Medicare benefits to 2 organizations: Inova Health Care Services (Falls Church, VA) and Fairfax County, Virginia (Fairfax, VA). 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 Charles Waller's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Charles Waller accept?

Health plans from Oscar Health and UnitedHealthcare list Charles Waller as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Waller was last updated on May 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.