Individual provider Active NPI

Vanessa Freeman, MD

  • Psychiatry Physician
  • Fairfax, VA
National Provider Identifier
1275066755
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101265524 Issued in VA
Practice address
12150 Monument Dr Ste 815
Fairfax, VA 22033-4064
Phone
(571) 534-3900
Fax
(703) 552-9318
NPI assigned
Apr 11, 2017
Last updated
Oct 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101265524 VA Primary

Addresses

Primary practice location

12150 Monument Dr Ste 815
Fairfax, VA 22033-4064

Mailing address

12150 Monument Dr Ste 815
Fairfax, VA 22033-4064
Phone (571) 534-3900

Other practice location 1

44084 Riverside Pkwy Ste 300
Leesburg, VA 20176-5102
Phone (571) 534-3900

Other practice location 2

6354 Walker Ln Ste 420
Alexandria, VA 22310-3252
Phone (571) 534-3900

Other practice location 3

12150 Monument Dr Ste 375
Fairfax, VA 22033-5577
Phone (571) 534-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101265524VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity TMS Centers LLC Psychiatry PastSince Nov 8, 2025 Accepting new patients

Organizations & group practices 1

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1275066755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12150 MONUMENT DR STE 815",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334064",
            "telephone_number": "571-534-3900",
            "fax_number": "703-552-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12150 MONUMENT DR STE 815",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220334064",
            "telephone_number": "571-534-3900",
            "fax_number": "703-552-9318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44084 Riverside Pkwy Ste 300",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "VA",
            "postal_code": "201765102",
            "country_code": "US",
            "telephone_number": "571-534-3900",
            "fax_number": "703-552-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6354 Walker Ln Ste 420",
            "address_purpose": "LOCATION",
            "city": "Alexandria",
            "state": "VA",
            "postal_code": "223103252",
            "country_code": "US",
            "telephone_number": "571-534-3900",
            "fax_number": "703-552-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12150 Monument Dr Ste 375",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220335577",
            "country_code": "US",
            "telephone_number": "571-534-3900",
            "fax_number": "703-552-9318",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101265524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.