Organization provider

CLEMENTINE TWIN LAKES, LLC

Psychiatric Residential Treatment Facility Mental Illness Community Based Residential Treatment Facility Adolescent and Children Mental Health Clinic/Center

CLEMENTINE TWIN LAKES, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1689269250, based in Fairfax Station, VA. The organization lists 3 taxonomy classifications, with Psychiatric Residential Treatment Facility recorded as primary.

Getting there

The practice address on file is 11329 HENDERSON RD, Fairfax Station, VA 22039. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

11329 HENDERSON RD, Fairfax Station, VA 22039 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)

This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.

What Psychiatric Residential Treatment Facility covers

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary NUCC Health Care Provider Taxonomy, code 323P00000X
Residential Treatment Facilities Psychiatric Residential Treatment Facility

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
323P00000X Psychiatric Residential Treatment Facility primary
320800000X Mental Illness Community Based Residential Treatment Facility
261QM0855X Adolescent and Children Mental Health Clinic/Center Adolescent and Children Mental Health

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1689269250 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateMar 5, 2021
Last updatedOct 16, 2025
StatusActive
Practice address 11329 HENDERSON RD
Fairfax Station, VA 22039
(305) 663-1876
Mailing address 6100 SW 76TH ST
South Miami, FL 33143
This record was updated on Oct 16, 2025, which is recent enough that the contact details are likely still accurate.

Number check

1689269250 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 8 9 2 6 9 2 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 7 9 4 6 9 2 1

Sum = 70 · next multiple of 10 = 70 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1689269250?
NPI 1689269250 is the National Provider Identifier assigned to CLEMENTINE TWIN LAKES, LLC in Fairfax Station, VA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric Residential Treatment Facility cover?
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment…
How do I contact CLEMENTINE TWIN LAKES, LLC?
The phone number on file with NPPES is (305) 663-1876, last updated Oct 16, 2025. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Is NPI 1689269250 a valid number?
Yes. 1689269250 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.