Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Primecare Support Services LLC

Organization Intellectual & Developmental Disabilities Psychologist · NPI 1033079066

Primecare Support Services LLC is an Intellectual & Developmental Disabilities Psychologist in Centreville, Virginia. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

15004 Olddale Rd
Centreville, VA 20120-1433
Phone: (240) 899-0339
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Clinic/Center (primary) Taxonomy 261QC1500X
Intellectual & Developmental Disabilities Psychologist Taxonomy 103TM1800X
Home Health Agency Taxonomy 251E00000X
Community/Behavioral Health Agency Taxonomy 251S00000X
In Home Supportive Care Agency Taxonomy 253Z00000X
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X

Record details

NPI number1033079066
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Ojong — Ceo · (240) 899-0339
NPI enumeratedNovember 12, 2025
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address15004 Olddale Rd, Centreville, VA 20120-1433