| Virginia Center For Psychological Services Pllc | |
|
20130 Lakeview Center Plz Ste 400 Ashburn VA 20147-5905 | |
| (703) 202-1050 | |
| Not Available |
| Full Name | Virginia Center For Psychological Services Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 20130 Lakeview Center Plz Ste 400, Ashburn, Virginia |
| Authorized Official Name and Position | Waseem Hussain (ACCOUNT MANAGER) |
| Authorized Official Contact | 7032021050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Center For Psychological Services Pllc 20130 Lakeview Center Plz Ste 400 Ashburn VA 20147-5905 Ph: () - | Virginia Center For Psychological Services Pllc 20130 Lakeview Center Plz Ste 400 Ashburn VA 20147-5905 Ph: (703) 202-1050 |
| NPI Number | 1144056045 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/24/2025 |
| Certification Date | 09/24/2025 |
| Medicare PECOS PAC ID | 7416486626 |
|---|---|
| Medicare Enrollment ID | O20250131002361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144056045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Jennie Patterson Polizzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821769852 PECOS PAC ID: 0547799769 Enrollment ID: I20250131002676 |
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