FAIRFAX FAMILY LIFE BEHAVIORAL HEALTH, LLC – NPI #1669976221
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

FAIRFAX FAMILY LIFE BEHAVIORAL HEALTH, LLC is a psychiatry & neurologist located in FAIRFAX, VA. NPPES has assigned the NPI number 1669976221 to FAIRFAX FAMILY LIFE BEHAVIORAL HEALTH, LLC on March 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 3 years ago on Nov 21, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FAIRFAX FAMILY LIFE BEHAVIORAL HEALTH, LLC below.

NPI Profile for
FAIRFAX FAMILY LIFE BEHAVIORAL HEALTH, LLC

NPI Number
1669976221
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FAIRFAX FAMILY LIFE BEHAVIORAL HEALTH, LLC
Primary location
FAIRFAXPARK OFFICE PLAZA
9512 B LEE HIGHWAY
FAIRFAX, VA 22031
Phone: (703) 652-6007 Fax: (703) 652-6007
Mailing address
2737 SUTTON RD
VIENNA, VA 22181-6107
Phone: (301) 538-9676 Fax: (703) 652-6007
Organization Subpart
No
Authorized Official
SHAH NADEEM
PSYCHIATRIST
Phone: (703) 345-8108
Updated
Certification Date
Nov 21, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
VA 0101243101

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.