Fernando Manuel Avila, PH.D
NPI 1962783464ActiveIndividual· Psychologist, Clinical· Vienna, VA
Psychologist, Clinical (PH.D) with Thriveworks Clinical - California PC, practicing in Vienna, Virginia. Medicare paid $236,212 for services to 151 patients in 2024.
Overview
| NPI | 1962783464 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PH.D |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2011 |
| Last updated in NPPES | Jan 28, 2020 |
| Certified by provider | Jan 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY31410 | CA |
| Psychologist, Clinical | 103TC0700X | RPS 2012468 | CA |
| Psychologist, Clinical | 103TC0700X | 0810005615 | VA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (CA); Practitioner - Clinical Psychologist (DC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 151 |
|---|---|
| Services billed | 3,653 across 4 procedure codes |
| Paid by Medicare | $236,212 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Medical group
- Thriveworks Clinical - California PCSan Francisco, CA · 53 clinicians
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