Individual provider Active NPI

David W Ruxer, PHD

  • Psychologist
  • Fairfax, VA
National Provider Identifier
1073560967
Registry record updated Apr 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810001301 Issued in VA
Practice address
11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972
Phone
(703) 691-1326
Fax
(703) 691-3553
NPI assigned
May 27, 2006
Last updated
Apr 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810001301 VA Primary

Addresses

Primary practice location

11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972

Mailing address

11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972
Phone (703) 691-1326

Other identifiers 1

IdentifierTypeStateIssuer
007754337MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000437 DC Practitioner - Clinical Psychologist 5799709812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Psychology Services PCGroup PAC ID 5496718793, 11 clinicians

Practice addresses (Care Compare)

11325 Random Hills Rd
Suite 360
Fairfax, VA 22030-0972
Phone (703) 691-1326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810001301VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Psychology Services PC CurrentSince Feb 21, 1991 Accepting new patients

Locations

11130 Fairfax Blvd
Ste 305
Fairfax, VA 22030
Phone (571) 918-9977

11325 Random Hills Rd
Ste 360
Fairfax, VA 22030
Phone (703) 691-1326

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1073560967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11325 RANDOM HILLS RD STE 360",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300972",
            "telephone_number": "703-691-1326",
            "fax_number": "703-691-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11325 RANDOM HILLS RD STE 360",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300972",
            "telephone_number": "703-691-1326",
            "fax_number": "703-691-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUXER",
        "first_name": "DAVID",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007754337",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.