Active NPI
Steven Brian Tunick, PHD
- Clinical Psychologist
- Fairfax, VA
National Provider Identifier
1972531846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002627
- Practice address
- 11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972 - Phone
- (703) 691-1326
- Fax
- (703) 691-3553
- NPI assigned
- Jun 29, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810002627 | VA | Primary |
Addresses
Primary practice location
11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972
Mailing address
11325 Random Hills Rd Ste 360
Fairfax, VA 22030-0972
Phone (703) 691-1326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007710623 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11325 Random Hills Rd
Suite 360
Fairfax, VA 22030-0972
Phone (703) 691-1326
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002627 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Psychology Services PC | Clinical | Current | Accepting new patients |
Locations
11130 Fairfax Blvd
Ste 305
Fairfax, VA 22030
Phone (571) 918-9977
11325 Random Hills Rd
Ste 360
Fairfax, VA 22030
Phone (703) 691-1326
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1972531846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11325 RANDOM HILLS RD STE 360",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300972",
"telephone_number": "703-691-1326",
"fax_number": "703-691-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11325 RANDOM HILLS RD STE 360",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220300972",
"telephone_number": "703-691-1326",
"fax_number": "703-691-3553"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNICK",
"first_name": "STEVEN",
"middle_name": "BRIAN",
"name_prefix": "Dr.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-29",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002627",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "007710623",
"state": "VA"
}
],
"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 Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.