Healthcare Provider Details

I. General information

NPI: 1003748500
Provider Name (Legal Business Name): AARON SCOTT THOMAS PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10682 CRESTWOOD DR STE A
MANASSAS VA
20109-4401
US

IV. Provider business mailing address

200 N WASHINGTON ST UNIT 320044
ALEXANDRIA VA
22320-8003
US

V. Phone/Fax

Practice location:
  • Phone: 703-587-8312
  • Fax:
Mailing address:
  • Phone: 951-218-5515
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0810009349
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: