Amanda Carlson

NPI 1073442166 · on the registry since 2026

Practice

Address: 3554 Chain Bridge Rd Ste 200
Fairfax, VA 22030
Phone: (703) 896-7628
Organisation at this address: Fairfax Mental Health & Wellness
Pediatric Services Of America, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 27

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-05-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia