NPIMap

Organization Active NPI

A.C.E Psychological Services

  • Community/Behavioral Health Agency
  • Fairfax, VA
National Provider Identifier
1508149907
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0810003919 Issued in VA
Legal business name
A.C.E PSYCHOLOGICAL SERVICES
Practice address
11198 Lee Hwy Ste D2
Fairfax, VA 22030-5009
Phone
(703) 330-3105
Fax
(703) 621-1128
NPI assigned
Sep 21, 2011
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Dr. Lauren Fisher, PSYD
Title
Licensed Clinical Psychologist
Phone
(703) 330-3105

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0810003919 VA Primary

Addresses

Primary practice location

11198 Lee Hwy Ste D2
Fairfax, VA 22030-5009

Mailing address

11198 Lee Hwy Ste D2
Fairfax, VA 22030-5009
Phone (703) 330-3105

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1508149907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11198 LEE HWY STE D2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305009",
            "telephone_number": "703-330-3105",
            "fax_number": "703-621-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11198 LEE HWY STE D2",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220305009",
            "telephone_number": "703-330-3105",
            "fax_number": "703-621-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A.C.E PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-330-3105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0810003919",
            "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 Sep 21, 2011; 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.