Absolute Mental Health Clinic LLC

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

Legal business name

ABSOLUTE MENTAL HEALTH CLINIC LLC

Practice address

1930 Opitz Blvd
Woodbridge, VA 22191-3304

Phone

(571) 398-2758

Fax

(888) 315-4281

NPI assigned

Oct 22, 2025

Last updated

Oct 22, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Maximo De la Cruz, BA-MA-QMHPNPI 1043875248

Title

Chief Director

Phone

(571) 572-0050

Specialties & licenses 2

Addresses

Tax ID family

Absolute Mental Health Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Absolute Mental Health Clinic LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Woodbridge, VA
  • NPI 1366007460
  NPD tax ID

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.

• Maximo De la Cruz, QMHP-A-MA

  • Mental Health Counselor
  • Manassas, VA
  • NPI 1043875248
  NPD Authorized official

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761091200000",
    "number": "1861369977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "571-572-0050",
            "fax_number": "888-315-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 OPITZ BLVD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913304",
            "telephone_number": "571-398-2758",
            "fax_number": "888-315-4281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABSOLUTE MENTAL HEALTH CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A",
        "authorized_official_last_name": "DE LA CRUZ",
        "authorized_official_first_name": "MAXIMO",
        "authorized_official_title_or_position": "CHIEF DIRECTOR",
        "authorized_official_telephone_number": "571-572-0050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA-MA-QMHP"
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• About Women OB/GYN
• Samson Asbu Abraham
• Theresa Lynn Abrahamson, APRN
• Esi Abruquah
• Absolute Mental Health Clinic LLC
• Adam Abu Al-Rub, DMD
• Ola Abuaita, DDS
• Abucar a. Abdulle, MD. PC
• Alyaa Abumerah
• Ace Home Health Care

• Clinical Child & Adolescent Psychologist in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Clinical Child & Adolescent Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.