DR. MICHELLE F EABON PH.D.
NPI 1770529653
Psychologist - Clinical Child & Adolescent in Fairfax, VA

Active since June 21, 2006Opted out of Medicare · through Jul 1, 2027
11244 WAPLES MILL RD, SUITE G-1, FAIRFAX, VA 22030(703) 691-4204(703) 691-3595 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michelle F Eabon Ph.d. NPPES

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

DR. MICHELLE F EABON PH.D. (NPI 1770529653) is an individual clinical child & adolescent provider in Fairfax, Virginia, licensed in Virginia (0810001597) and active in the NPI registry since June 2006. She has opted out of Medicare through July 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1770529653
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameDR. MICHELLE F EABONCredential: PH.D.
Location Address11244 WAPLES MILL RD, SUITE G-1Fairfax, VA 22030-6040
Mailing Address11244 Waples Mill Rd, Suite G-1Fairfax, VA 22030-6040 · (703) 691-4204 · Fax (703) 691-3595
Fax(703) 691-3595
Sole ProprietorYes
Enumeration DateJune 21, 2006
Last NPPES UpdateSeptember 11, 2025
NPI 1770529653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in VA · 0810001597
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 0810001597 (VA)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Michelle F Eabon Ph.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 1, 2017 through July 1, 2027.

Opt-Out Effective DateJuly 1, 2017
Opt-Out In Effect ThroughJuly 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 6

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

Counselor (Professional)
11244 WAPLES MILL RD, SUITE D-1
FAIRFAX, VA 22030
Social Worker (Clinical)
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030
Social Worker (Clinical)
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030
Psychologist (Clinical)
11244 WAPLES MILL RD, SUITE D-1
FAIRFAX, VA 22030
Specialist
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030
Social Worker (Clinical)
11244 WAPLES MILL RD, SUITE K
FAIRFAX, VA 22030

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 Michelle Eabon's NPI number?

The NPI number for Michelle Eabon is 1770529653. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Michelle Eabon located?

Michelle Eabon practices at 11244 Waples Mill Rd Suite G-1, Fairfax, VA 22030. The listed phone number is (703) 691-4204.

What is Michelle Eabon's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Michelle Eabon enrolled in Medicare?

No. Michelle Eabon has opted out of Medicare through July 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Michelle Eabon was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.