EXSERVICE MEMBERS PAYING IT FORWARD NPI 1730752981

NPI Information

NPI: 1730752981
Provider Name: EXSERVICE MEMBERS PAYING IT FORWARD
Classification: Psychologist - 103TC0700X
Specialization: Clinical
Entity Type: Organization
Doing Business As: AURORA PSYCHOLOGICAL SERVICES
Address: 13000 HARBOR CENTER DR STE 213
WOODBRIDGE, VA
ZIP 22192
Phone: (571) 421-2964

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NPI Details

EXSERVICE MEMBERS PAYING IT FORWARD is a clinical psychologist in Woodbridge, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. EXSERVICE MEMBERS PAYING IT FORWARD NPI is 1730752981. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Aurora Psychological Services.

The provider's business location address is:

13000 HARBOR CENTER DR STE 213
WOODBRIDGE, VA
ZIP 22192-847
Phone: (571) 421-2964
Fax: (877) 260-8195

The provider's authorized official is Maya Deskins .
The authorized official title is Clinical Psychologist and has the following contact phone number (703) 679-2539.

The enumeration date for this NPI number is 7/23/2021 and was last updated on 5/14/2024.

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	Primary
1	101YM0800X	Counselor	Mental Health	No
2	103TC0700X	Psychologist	Clinical	Yes
3	103TS0200X	Psychologist	School	No
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1730752981	OTHER		NATIONAL PROVIDER NUMBER

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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