Individual provider · Type 1 NPI

James Ethan Fayne, PSY.D., M.ED.

Clinical Psychologist · Manassas, VA

NPI number 1417801069 Active

Practice location

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517

Call (571) 307-4907 Map

Other practice locations

  • 10908 Courthouse Rd, Fredericksburg, VA 22408-2658 · (540) 645-2458

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0810009233 (VA)

Clinical Psychologist: 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 discip…

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About NPI 1417801069

James Ethan Fayne, PSY.D., M.ED.'s National Provider Identifier is 1417801069, issued on Feb 23, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Manassas, VA. The record was last updated on Feb 23, 2026.