| Cedar Psychological Center | |
|
42450 Fawn Meadow Pl Chantilly VA 20152-4177 | |
| (540) 205-2998 | |
| Not Available |
| Full Name | Cedar Psychological Center |
|---|---|
| Speciality | Psychologist |
| Location | 42450 Fawn Meadow Pl, Chantilly, Virginia |
| Authorized Official Name and Position | Amber Parker (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5402052998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cedar Psychological Center 42450 Fawn Meadow Pl Chantilly VA 20152-4177 Ph: (540) 205-2998 | Cedar Psychological Center 42450 Fawn Meadow Pl Chantilly VA 20152-4177 Ph: (540) 205-2998 |
| NPI Number | 1922532001 |
|---|---|
| Provider Enumeration Date | 04/17/2017 |
| Last Update Date | 12/06/2024 |
| Certification Date | 12/06/2024 |
| Medicare PECOS PAC ID | 4284902636 |
|---|---|
| Medicare Enrollment ID | O20170608000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922532001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004305 (Virginia) | Primary |
| Provider Name | Amber Ls Parker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396013173 PECOS PAC ID: 6507094810 Enrollment ID: I20170608000593 |
Connections Medical Of Va, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Lee Rd Ste 102, Chantilly, VA 20151 Phone: 520-301-2400 | |
Ladderbox, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4252 Airline Pkwy, Chantilly, VA 20151 Phone: 202-655-7138 | |
Grace Health Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14110 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-378-7998 | |
Revival Wellness & Ketamine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4200b Technology Ct, Chantilly, VA 20151 Phone: 703-988-3984 | |
Connections Healthva, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Lee Rd Ste 101, Chantilly, VA 20151 Phone: 520-301-2400 | |
David C Heebner, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14143 Robert Paris Ct, Chantilly, VA 20151 Phone: 703-403-2773 | |
Recovery Innovations, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14554 Lee Rd, Chantilly, VA 20151 Phone: 602-650-1212 Fax: 602-650-1616 |