1. Home
  2. Directory
  3. Virginia
  4. Mc Lean
  5. Psychologist
  6. NPI Profile

JEANINE RUTH CARLSON PH.D.
NPI 1972794642
Psychologist - Clinical in Mc Lean, VA

Active since August 07, 2007PECOS Enrolled
1487 CHAIN BRIDGE RD, SUITE 202, MC LEAN, VA 22101(703) 919-0917(703) 536-4693 Get Directions Write a Review

NPPES record last updated: September 11, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeanine Ruth Carlson Ph.d. NPPES

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

JEANINE RUTH CARLSON PH.D. (NPI 1972794642) is an individual clinical provider in Mc Lean, Virginia, licensed in Virginia (2073) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1979).

NPPES Registry Identity

NPI1972794642
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameJEANINE RUTH CARLSONCredential: PH.D.
Location Address1487 CHAIN BRIDGE RD, SUITE 202Mc Lean, VA 22101-5723
Mailing Address1487 Chain Bridge Rd, Suite 202Mc Lean, VA 22101-5723 · (703) 919-0917 · Fax (703) 536-4693
Phone(703) 919-0917
Fax(703) 536-4693
Sole ProprietorYes
Medical School CMSOtherGraduated 1979
Enumeration DateAugust 7, 2007
Last NPPES UpdateSeptember 11, 2012
✔ NPI 1972794642 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 · 2073
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.
1487 CHAIN BRIDGE RD, Mc Lean, VA 22101
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jeanine Ruth Carlson Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527219880
PECOS Enrollment IDI20150901002990
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 22101 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 7

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

LANGLEY RESIDENTIAL SUPPORT SERVICES
Day Training, Developmentally Disabled Services
1487 CHAIN BRIDGE RD, SUITE 200
MC LEAN, VA 22101
Fairfax County (703) 893-0068
MR. AARON DANIEL BOURNE
Counselor (Professional)
1487 CHAIN BRIDGE RD, SUITE 300
MC LEAN, VA 22101
Fairfax County (301) 910-1762
MELINDA R TIMMONS L.M.F.T. M.S.
Marriage & Family Therapist
1487 CHAIN BRIDGE RD
MC LEAN, VA 22101
Fairfax County (808) 781-3586
TANYA MARIE CLAUSEN LCSW
Social Worker (Clinical)
1487 CHAIN BRIDGE RD
MC LEAN, VA 22101
Fairfax County (571) 251-6724
DUFFY COUNSELING CENTER
Clinic/Center (Mental Health (Including Community Mental Health Center))
1487 CHAIN BRIDGE RD
MC LEAN, VA 22101
Fairfax County (703) 255-1091
SARAH TAYLOR TYLER LCSW, LCSW-C
Social Worker (Clinical)
1487 CHAIN BRIDGE RD, SUITE 300
MC LEAN, VA 22101
Fairfax County (703) 856-3154
LANGLEY RESIDENTIAL SUPPORT SERVICES, INC.
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1487 CHAIN BRIDGE RD, SUITE 200
MC LEAN, VA 22101
Fairfax County (703) 893-0068

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 Jeanine Carlson's NPI number?

The NPI number for Jeanine Carlson is 1972794642. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Jeanine Carlson located?

Jeanine Carlson practices at 1487 Chain Bridge Rd Suite 202, Mc Lean, VA 22101. The listed phone number is (703) 919-0917.

What is Jeanine Carlson's specialty?

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

Is Jeanine Carlson enrolled in Medicare?

Yes. Jeanine Carlson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jeanine Carlson was last updated on September 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.