Healthcare Provider Details

I. General information

NPI: 1891907135
Provider Name (Legal Business Name): CHRISTOPHER PATRICK ROVIS M.S.W., PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8308 OLD COURTHOUSE RD STE B
VIENNA VA
22182-3863
US

IV. Provider business mailing address

8308 OLD COURTHOUSE RD STE B
VIENNA VA
22182-3863
US

V. Phone/Fax

Practice location:
  • Phone: 703-734-3518
  • Fax: 703-893-2837
Mailing address:
  • Phone: 703-734-3518
  • Fax: 703-893-2837

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number0904000271
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904000271
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: