OrganizationActive
Tds Health
NPI 1679269930 · Intellectual & Developmental Disabilities Psychologist · Woodbridge, VA
Provider details
- NPI number
- 1679269930
- Entity type
- Organization
- Primary specialty
- Intellectual & Developmental Disabilities PsychologistBehavioral Health & Social Service Providers
- Parent organization
- Tds Health
- Organization subpart
- Yes
- Authorized official
- Stella Kintu, Director/ Authorized Officer(703) 457-1049
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
4215 Dale Blvd
Woodbridge, VA 22193-2243
Phone: (703) 457-1049
Street-level locationGet directions
Mailing address
4215 Dale Blvd
Woodbridge, VA 22193-2243
Other names (DBA / former)
- Other name
- Tds Health Group Homes
- Other name
- Tds Health Group Homes
Additional practice locations (2)
- 16252 Eagle Flight CirWoodbridge, VA 22191-6078Phone: (703) 878-1837
- 1774 Tiger Lily CirWoodbridge, VA 22192-5608Phone: (170) 339-8852
Registry dates
- Enumerated
- 2023-04-11
- Last updated
- 2023-04-14
- Certified
- 2023-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.