KAREN MARIE FITZGERALD (PHD) – Clinical Psychologist, NPI 1639239510

KAREN MARIE FITZGERALD (PHD) is a healthcare provider. based in Woodbridge, Virginia. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. 0810003736 (VA). The NPI Number for KAREN MARIE FITZGERALD (PHD) is 1639239510

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
KAREN MARIE FITZGERALD (PHD)
NPI
1639239510
Phone
(703) 491-0042
Address
2200 OPITZ BLVD
Enumeration Date
11 December 2006
Last Update Date
5 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7036804200
Graduation Year
1995 (31 years ago)
PAC ID
7719290261
Group Practice PAC ID
1052689379
Professional Enrollment ID
I20170613001045
Address ID
VA221928100WO4320XPKWY401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

668 CLINICAL PSYCHOLOGIST in VA

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Provider Addresses for KAREN MARIE FITZGERALD (PHD)

  • 2200, Opitz Boulevard, Featherstone Mobile Home Park, Woodbridge, Prince William County, Virginia, 22191, United States

    SUITE 105B

    WOODBRIDGE, VA 221913321

    Phone: (703) 491-0042

    Fax: (703) 491-9200

    Type: Location

  • 7897 KENDRICK CT

    MANASSAS, VA 201124600

    Phone: (703) 791-3200

    Type: Mailing

  • 10721 MAIN ST STE 203

    FAIRFAX, VA 220306902

    Phone: (703) 831-2040

    Fax: (571) 307-5494

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-08-15

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170613001045IClinical PsychologistVATBD
I20250815000269IClinical PsychologistDCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 22191)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1052689379View full group profile
NameSpecialtyState
Clinical PsychologistVA
-VA
Clinical PsychologistMD
Clinical Social WorkerVA
Clinical PsychologistVA
Clinical PsychologistMD
Clinical PsychologistVA
Clinical PsychologistVA

Reviews

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Frequently asked questions

Is KAREN MARIE FITZGERALD (PHD) listed with a National Provider Identifier?
Yes — KAREN MARIE FITZGERALD (PHD) has NPI 1639239510 on file in the registry.
Would KAREN MARIE FITZGERALD (PHD) appear as active to a payer?
You can treat KAREN MARIE FITZGERALD (PHD) as active for directory purposes; confirm clinical privileges separately.
What kind of doctor is KAREN MARIE FITZGERALD (PHD)?
KAREN MARIE FITZGERALD (PHD) is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Where in Virginia is KAREN MARIE FITZGERALD (PHD) registered?
Use Woodbridge, Virginia as the headline location for KAREN MARIE FITZGERALD (PHD) here.
Can I trust this NPI listing for KAREN MARIE FITZGERALD (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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