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

Dr. Charles Cutez Waller, PSYD

Individual provider Mental Health Counselor · NPI 1659866556

Dr. Charles Cutez Waller, PSYD is a Clinical Psychologist in Fairfax, Virginia. Qualified in 2019, 7 years ago. Practices with Inova Health Care Services, a 1,827-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
7
Licensed in
VA
In the registry since
2018
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

8221 Willow Oaks Corporate Dr
Fairfax, VA 22031-4512
Phone: (703) 559-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8140 Ashton Ave Ste 200, Manassas, VA 20109-5701 — (703) 330-9933

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810008049 (VA)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1659866556
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorNo
NPI enumeratedJune 25, 2018
Last updated in NPPESMay 27, 2026
Certification dateMay 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Inova Health Care Services — 1827 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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