IndividualActive
Jennifer Shore, PSY.D.
NPI 1417225863 · Clinical Psychologist · Fairfax, VA
Jennifer Shore, PSY.D. is a Clinical Psychologist provider in Fairfax, VA (NPI 1417225863).
Provider details
- NPI number
- 1417225863
- Entity type
- Individual
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Credential
- PSY.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 0810004513 (VA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
3554 Chain Bridge Rd
Suite 103
Fairfax, VA 22030-2709
Phone: (703) 896-7628
Fax: (703) 890-2359
Street-level locationGet directions
Mailing address
3554 Chain Bridge Rd
Fairfax, VA 22030-2709
Registry dates
- Enumerated
- 2011-12-13
- Last updated
- 2016-12-15
Frequently asked questions
- What is Jennifer Shore's NPI number?
- Jennifer Shore's National Provider Identifier (NPI) is 1417225863, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Shore's specialty?
- Jennifer Shore is listed in the NPPES registry with a primary specialty of Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Jennifer Shore located?
- Jennifer Shore's practice location on file with NPPES is 3554 Chain Bridge Rd, Fairfax, VA 22030-2709.
- What is Jennifer Shore's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Shore is (703) 896-7628.
- Is Jennifer Shore's NPI active?
- Yes — Jennifer Shore's NPI (1417225863) is active in the NPPES registry as of the last update on 2016-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.