PROSPERITY BEHAVIORAL HEALTHCARE, PLLC
NPI 1679234744
Psychologist in Manassas, VA

Active since December 31, 2021
11912 HAYES STATION WAY, MANASSAS, VA 20109(323) 420-8787(443) 331-4441 Get Directions Write a Review

NPPES record last updated: December 31, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prosperity Behavioral Healthcare, Pllc NPPES

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

PROSPERITY BEHAVIORAL HEALTHCARE, PLLC (NPI 1679234744) is a healthcare organization registered as a psychologist in Manassas, Virginia and active in the NPI registry since December 2021. The organization lists Stacy Tylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1679234744
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NamePROSPERITY BEHAVIORAL HEALTHCARE, PLLC
Location Address11912 HAYES STATION WAYManassas, VA 20109-4845
Mailing Address11912 Hayes Station WayManassas, VA 20109-4845 · (323) 420-8787 · Fax (443) 331-4441
Fax(443) 331-4441
Organization SubpartNo
Authorized OfficialStacy TylorOwner · (323) 420-8787
Enumeration DateDecember 31, 2021
NPPES CertifiedDecember 31, 2021
NPI 1679234744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
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.

11912 HAYES STATION WAY, Manassas, VA 20109

Other Identifiers 1

Other1992015887MD · Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Prosperity Behavioral Healthcare, PLLC's NPI number?

The NPI number for Prosperity Behavioral Healthcare, PLLC is 1679234744. It was assigned to this organization in the NPPES registry on December 31, 2021.

Where is Prosperity Behavioral Healthcare, PLLC located?

Prosperity Behavioral Healthcare, PLLC is located at 11912 Hayes Station Way, Manassas, VA 20109. The listed phone number is (323) 420-8787.

What is Prosperity Behavioral Healthcare, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Prosperity Behavioral Healthcare, PLLC was last updated on December 31, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.