Fairfax Mental Health & Wellness
NPI 1699201749 · Clinical Psychologist · Fairfax, VA
Fairfax Mental Health & Wellness is a Clinical Psychologist organization in Fairfax, VA (NPI 1699201749).
Provider details
- NPI number
- 1699201749
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jon Shore, Ceo(732) 996-6164
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2017-05-11
- Last updated
- 2025-02-19
- Certified
- 2025-02-19
Frequently asked questions
- What is Fairfax Mental Health & Wellness's NPI number?
- Fairfax Mental Health & Wellness's National Provider Identifier (NPI) is 1699201749, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Mental Health & Wellness?
- Fairfax Mental Health & Wellness is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Fairfax Mental Health & Wellness located?
- Fairfax Mental Health & Wellness's practice location on file with NPPES is 3554 Chain Bridge Rd Ste 200, Fairfax, VA 22030-2709.
- What is Fairfax Mental Health & Wellness's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Mental Health & Wellness is (703) 896-7628.
- Who is the authorized official for Fairfax Mental Health & Wellness?
- The authorized official listed on Fairfax Mental Health & Wellness's NPPES record is Jon Shore, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Mental Health & Wellness's NPI active?
- Yes — Fairfax Mental Health & Wellness's NPI (1699201749) is active in the NPPES registry as of the last update on 2025-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.