Affect Therapeutics Inc
NPI 1104402064 · Substance Use Disorder Rehabilitation Clinic/Center · Mc Lean, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Affect Therapeutics Inc is a Substance Use Disorder Rehabilitation Clinic/Center organization in Mc Lean, VA (NPI 1104402064).
Provider details
- NPI number
- 1104402064
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Karla Mullings, Director of Compliance(323) 522-2218
Specialties & taxonomies
Ambulatory Health Care Facilities
Behavioral Health & Social Service Providers
- Community Health Nurse Practitioner363LC1500X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Affect Therapeutics
Additional practice locations (2)
- 507 Richland Ave Ste 105Athens, OH 45701-3700Phone: (845) 769-8758
- 3800 Paluxy Dr Ste 404Tyler, TX 75703-1617Phone: (845) 769-8758Fax: (202) 964-6533
Registry dates
- Enumerated
- 2021-03-22
- Last updated
- 2026-02-19
- Certified
- 2026-02-19
Frequently asked questions
- What is Affect Therapeutics Inc's NPI number?
- Affect Therapeutics Inc's National Provider Identifier (NPI) is 1104402064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Affect Therapeutics Inc?
- Affect Therapeutics Inc is classified in the NPPES registry as Substance Use Disorder Rehabilitation Clinic/Center (Ambulatory Health Care Facilities).
- Where is Affect Therapeutics Inc located?
- Affect Therapeutics Inc's practice location on file with NPPES is 1640 Boro Pl Fl 4, Mc Lean, VA 22102-3627.
- What is Affect Therapeutics Inc's phone number?
- The practice phone number listed in the NPPES registry for Affect Therapeutics Inc is (845) 769-8758.
- Does Affect Therapeutics Inc accept Medicare?
- Affect Therapeutics Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Affect Therapeutics Inc?
- The authorized official listed on Affect Therapeutics Inc's NPPES record is Karla Mullings, Director of Compliance. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Affect Therapeutics Inc's NPI active?
- Yes — Affect Therapeutics Inc's NPI (1104402064) is active in the NPPES registry as of the last update on 2026-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.