RIAZUL ISLAM PSY.D.
NPI 1770315715
Psychologist - Clinical in Woodbridge, VA

Q: What is Riazul Islam's NPI number?

The NPI number for Riazul Islam is 1770315715. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Q: What is Riazul Islam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Riazul Islam was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since August 19, 2024PECOS EnrolledAccepts Medicare Assignment

2680 OPITZ BLVD STE 220, WOODBRIDGE, VA 22192(703) 497-1771 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Riazul Islam Psy.d. NPPES

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

RIAZUL ISLAM PSY.D. (NPI 1770315715) is an individual clinical provider in Woodbridge, Virginia, licensed in Virginia (0810008546) and active in the NPI registry since August 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Manassas, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1770315715

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameRIAZUL ISLAMCredential: PSY.D.

Location Address2680 OPITZ BLVD STE 220Woodbridge, VA 22192-6821

Mailing Address16934 Monmouth CtDumfries, VA 22026-3252 · (757) 705-6557

Phone(703) 497-1771

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateAugust 19, 2024

NPPES CertifiedAugust 18, 2024

✔ NPI 1770315715 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 · 0810008546

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.

2680 OPITZ BLVD STE 220, Woodbridge, VA 22192

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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 Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Riazul Islam Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466977442

PECOS Enrollment IDI20250423000118

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22192 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

$170.30 typical visit price

range $56.19 – $170.30

Typical copayment $42.57 (range $14.04 – $42.57)

Most-billed visit code 99205

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

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Other Providers at the Same Location NPPES 9

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

LAIA SCOTT

Counselor (Mental Health)