OrganizationActive
Inova Kellar Center
NPI 1497808679 · Adolescent and Children Mental Health Clinic/Center · Fairfax, VA
Provider details
- NPI number
- 1497808679
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rick Leichtweis, Senior Director(703) 218-8500
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(99/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
11204 Waples Mill Rd
Fairfax, VA 22030-6048
Phone: (703) 218-8500
Fax: (703) 359-0463
Street-level locationGet directions
Mailing address
Po Box 37511
Baltimore, MD 21297-3511
Additional practice locations (2)
- 11200 Waples Mill Rd Ste 180Fairfax, VA 22030-7407Phone: (703) 218-8500
- 46050 Manekin Plz Ste 110Sterling, VA 20166-6519Phone: (571) 665-6710
Registry dates
- Enumerated
- 2007-01-19
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.