PEAK PERFORMANCE NEUROFEEDBACK LLC NPI 1275913436

NPI Information

  • NPI: 1275913436
  • Provider Name: PEAK PERFORMANCE NEUROFEEDBACK, LLC
  • Classification: Clinic/Center - 261QM0855X
  • Specialization: Adolescent and Children Mental Health
  • Entity Type: Organization
  • Address: 13800 COPPERMINE RD
    SUITE 183
    HERNDON, VA
    ZIP 20171
  • Phone: (619) 540-3235

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NPI Details

PEAK PERFORMANCE NEUROFEEDBACK, LLC is an adolescent and children mental health clinic center in Herndon, VA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. PEAK PERFORMANCE NEUROFEEDBACK, LLC NPI is 1275913436. The provider is registered as an organization entity type.

The provider's business location address is:

13800 COPPERMINE RD
SUITE 183
HERNDON, VA
ZIP 20171-163
Phone: (619) 540-3235
Fax: (703) 234-2213

The provider's authorized official is Beth B Davis .
The authorized official title is Psychologist/clinical Director and has the following contact phone number (619) 540-3235.

The enumeration date for this NPI number is 6/3/2015 and was last updated on 8/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0850XClinic/CenterAdult Mental Health0810004027VIRGINIANo
2261QH0100XClinic/CenterHealth Service0810004027VIRGINIANo
3261QM0855XClinic/CenterAdolescent and Children Mental Health0810004027VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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