Exservice Members Paying It Forward

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

EXSERVICE MEMBERS PAYING IT FORWARD

Doing business as

Aurora Psychological Services

Practice address

13000 Harbor Center Dr Ste 213
Woodbridge, VA 22192-2847

Phone

(571) 421-2964

Fax

(877) 260-8195

NPI assigned

Jul 23, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Maya Deskins, PH.D.NPI 1053419549

Title

Clinical Psychologist

Phone

(703) 679-2539

Specialties & licenses 4

Addresses

Other identifiers 1

Other names 1

• Aurora Psychological Services Doing business as

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Maya M Deskins, PH.D.

  • Clinical Psychologist
  • Woodbridge, VA
  • NPI 1053419549
  Authorized official Same address or phone

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

{
    "created_epoch": "1626998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715644800000",
    "number": "1730752981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 1/2 HULL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232243922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 HARBOR CENTER DR STE 213",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922847",
            "telephone_number": "571-421-2964",
            "fax_number": "877-260-8195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXSERVICE MEMBERS PAYING IT FORWARD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-23",
        "last_updated": "2024-05-14",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "DESKINS",
        "authorized_official_first_name": "MAYA",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "703-679-2539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL PROVIDER NUMBER",
            "identifier": "1730752981",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@aurorapsychological.com",
            "affiliation": "N",
            "address_1": "13000 Harbor Center Dr Ste 213",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922847",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@aurorapsychological.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13000 Harbor Center Dr Ste 213",
            "city": "Woodbridge",
            "state": "VA",
            "country_code": "US",
            "postal_code": "221922847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Aurora Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Aurora Psychological Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Psychologist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.