DR. BIANCA FETHERSON (NPI# 1003154691) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003154691 |
| Entity Type | Individual |
| Full Name | DR. BIANCA FETHERSON |
| Credential | PH.D. |
| Practice Address |
7404 Executive Pl Ste 225b Lanham MD 20706-6205 |
| Practice Telephone | 2409294387 |
| Mailing Telephone | 2409294387 |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2019-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Street Address |
7404 EXECUTIVE PL STE 225B |
| City | LANHAM |
| State | MD |
| Zip Code | 20706-6205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558828996 | Fetherson & Knight Psychological Services, LLC | Psychologist | 7404 Executive Pl Ste 225b, Lanham, MD 20706-6205 | 2019-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760046775 | Ayesha Tappin | Occupational Therapist | 4200 Parliament Pl. Ste 550, Lanham, MD 20706 | 2019-04-24 |
| 1790240646 | Himabindu Gangavarapu Vinodrao | Nurse Practitioner | 8118, Good Luck Road, Lanhham, MD 20706 | 2019-02-05 |
| 1538644943 | Win Team, LLC | Clinic/Center | 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 | 2018-10-02 |
| 1558846394 | Brieana Moore | Behavioral Analyst | 4551 Parliament Place Suite A, Lanham, MD 20706 | 2018-09-27 |
| 1225511553 | Melvis Afanwi Chi | Home Health Aide | 9861 Goodluck Rd, T1, Lanham, MD 20706 | 2018-09-12 |
| 1346722766 | Elsie Clarke | Nurse Practitioner | 9470 Annapolis Road Suite 311, Lanham, MD 20706 | 2018-09-01 |
| 1821576141 | Amie Da Silva | Nurse Practitioner | 5724 Edge Avenue, Lanham, MD 20706 | 2018-07-30 |
| 1033697313 | Iyadunni Omolara Olukorede | Home Health Aide | 9789 Good Luck Rd Apt 9, Lanham, MD 20706 | 2018-07-30 |
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1902394398 | Ezekiel Kelechukwu Nwafor | Home Health Aide | 5447 85th Ave Apt 202, Lanham, MD 20706 | 2018-05-01 |
| Find all providers in zip 20706 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447741459 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706 | 2018-05-24 |
| 1386164770 | April Victoria Martin | Psychologist | 4200 Parliament Pl, Ste 510, Lanham, MD 20706-1852 | 2017-06-27 |
| 1770959942 | Tonya Walker Lockwood | Psychologist | 9917 Good Luck Rd, Apt 202, Lanham, MD 20706-3252 | 2015-08-11 |
| 1891921003 | Alek's House LLC | Psychologist | 4200 Forbes Blvd Ste 122, Lanham, MD 20706-4342 | 2009-06-02 |
| 1245323542 | Susan Bregman | Psychologist | 8920 Hilton Hill Drive, Lanham, MD 20706 | 2006-10-02 |
| 1639283849 | Dana Cunningham | Psychologist | 9344 Lanham Severn Rd, #203a, Lanham, MD 20706-2776 | 2006-08-18 |
| 1558828996 | Fetherson & Knight Psychological Services, LLC | Psychologist | 7404 Executive Pl Ste 225b, Lanham, MD 20706-6205 | 2019-02-21 |
| 1386135333 | A Step Ahead Preventive and Holistic Wellness Center LLC | Psychologist | 4500 Forbes Blvd # 200-w12, Lanham, MD 20706-6312 | 2018-05-25 |
| 1063927606 | The One World Center for Autism, Inc. | Psychologist | 7401 Forbes Blvd Ste A, Lanham, MD 20706-2288 | 2017-12-05 |
| 1013348267 | Affiliated Sante Group | Psychologist | 4355 Nicole Dr, Lanham, MD 20706-4349 | 2013-12-12 |
| Find all providers in LANHAM | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.