Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. James Ethan Fayne, PSYD, MED

Individual provider Clinical Psychologist · NPI 1417801069

Dr. James Ethan Fayne, PSYD, MED is a Clinical Psychologist in Manassas, Virginia. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2026
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

10432 Balls Ford Rd Ste 300
Manassas, VA 20109-2517
Phone: (571) 307-4907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810009233 (VA)

Record details

NPI number1417801069
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD , MED
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 22, 2026

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