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

Fernando Manuel Avila, PHD

Individual provider Clinical Psychologist · NPI 1962783464

Fernando Manuel Avila, PHD is a Clinical Psychologist in Vienna, Virginia. Qualified in 2014, 12 years ago. Practices with Thriveworks Clinical - California PC, a 54-clinician group and accepts Medicare assignment. Licensed in California and Virginia.

Years since qualifying
12
Licensed in
CA, VA
In the registry since
2011
Specialties on file
3
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2671 Avenir Pl
Vienna, VA 22180-7485
Phone: (703) 207-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY31410 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence RPS 2012468 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 0810005615 (VA)

Record details

NPI number1962783464
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedAugust 29, 2011
Last updated in NPPESJanuary 28, 2020
Certification dateJanuary 28, 2020
Mailing address11125 Pelham Ln, Fairfax, VA 22030-4518

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Thriveworks Clinical - California Pc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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