NPIMap

Organization Active NPI

George Mason University Center for Psychological Services

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1295852622
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GEORGE MASON UNIVERSITY CENTER FOR PSYCHOLOGICAL SERVICES
Practice address
10340 Democracy LN
Suite 202
Fairfax, VA 22030-2518
Phone
(703) 993-1370
Fax
(703) 993-0035
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Dr. Robyn S Mehlenbeck, PH.D.
Title
Director
Phone
(703) 993-1371

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

10340 Democracy LN
Suite 202
Fairfax, VA 22030-2518

Mailing address

4400 University Drive
George Mason University, Ms2C6
Fairfax, VA 22030
Phone (703) 993-1370

National Provider Directory

National Provider Directory
Tax ID family
George Mason University Center for Psychological Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4400 University Dr
#2C6
Fairfax, VA 22030
Phone (703) 993-4504

10340 Democracy Ln
Ste 202
Fairfax, VA 22030
Phone (703) 993-1370

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1295852622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 UNIVERSITY DRIVE",
            "address_2": "GEORGE MASON UNIVERSITY, MS2C6",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "22030",
            "telephone_number": "703-993-1370",
            "fax_number": "703-352-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10340 DEMOCRACY LN",
            "address_2": "SUITE 202",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220302518",
            "telephone_number": "703-993-1370",
            "fax_number": "703-993-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MASON UNIVERSITY CENTER FOR PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "MEHLENBECK",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-993-1371",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jun 30, 2010; 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.