DR. GLORIA BARTOLOME DUFFY (NPI# 1003806399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003806399 |
Entity Type | Individual |
Full Name | DR. GLORIA BARTOLOME DUFFY |
Credential | MD |
Practice Address |
14450 Smoketown Rd Woodbridge VA 22192-4712 |
Mailing Address |
2768 Cody Rd Vienna VA 22181-5387 |
Practice Telephone | 7035514720 |
Practice Fax Number | 7035761412 |
Mailing Telephone | 7035761393 |
Mailing Fax Number | 7035761412 |
Enumeration Date | 2005-10-27 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101049243 | VA | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083758809 | Gloria Duffy | Registered Nurse | 31 Hosier St, Selbyville, DE 19975-9300 | 2007-02-16 |
Street Address |
14450 SMOKETOWN RD |
City | WOODBRIDGE |
State | VA |
Zip Code | 22192-4712 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588654990 | Department of Defense | Clinic/Center | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2005-10-26 |
1437451317 | Samuel Kibe Wambui | Occupational Therapist | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2010-11-25 |
1851491047 | Joyce Headen | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-09-25 |
1376518159 | Sheila Gail Redmond | Social Worker | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-23 |
1639144983 | Karen M Vonderhaar | Dietitian, Registered | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-21 |
1750356499 | Colleen Mcinnes | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-17 |
1972575058 | Mary Lou Guerrina | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-02-03 |
1417928029 | Daniel T Whang | Optometrist | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-01-31 |
1356311690 | Deborah Therese Weimer-bryson | Nurse Practitioner | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-01-26 |
1700856333 | Cuong Hoang Do | Family Medicine | 14450 Smoketown Rd, Woodbridge, VA 22192-4712 | 2006-01-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
Find all providers in zip 22192 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972864627 | Sandra Boltax-stern, Md, PC | Psychiatry & Neurology | 78 Ansonia Road, Woodbridge, CT 06525 | 2012-05-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
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City | WOODBRIDGE |
Zip Code | 22192 |
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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.