DR. MICHELLE ROSE BLUMENTHAL (NPI# 1073859211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073859211 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE ROSE BLUMENTHAL |
| Credential | PSY.D. |
| Practice Address |
102 Heritage Way Ne Ste 302 Leesburg VA 20176-4544 |
| Practice Telephone | 7037715100 |
| Practice Fax Number | 7037770170 |
| Mailing Telephone | 7037715100 |
| Mailing Fax Number | 7037770170 |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2012-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
0810004666 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004666 | VA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0810004666 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700449774 | Michelle Blumenthal | Behavior Technician | 1051 Connecticut Ave, Holloman Afb, NM 88330-8092 | 2019-04-16 |
| 1396154597 | Michelle Blumenthal | Case Manager/Care Coordinator | 58 Villanova Ln, Dix Hills, NY 11746-4844 | 2014-08-13 |
| Street Address |
102 HERITAGE WAY NE STE 302 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20176-4544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699707802 | Lisa M Kirk | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2006-07-07 |
| 1780282376 | Kevin Grigsby | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-10-15 |
| 1922613561 | Bless Sherrina Whitaker | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-09-10 |
| 1619597648 | Douglas Mao | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-04-20 |
| 1942833520 | Shantell Turner | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-02-21 |
| 1265062426 | Ashlee Abney | Social Worker | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2020-01-16 |
| 1699312728 | Heather Rainey | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-12-09 |
| 1972146827 | Mihaela Stefan | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-10-23 |
| 1972159762 | Rebecca Suzanne Washington | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-08-16 |
| 1508419151 | Ryan Lynch | Counselor | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2019-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912923 | Timothy Michael Nixon | Pharmacist | 61 Catoctin Circle, Leesburg, VA 20176 | 2020-11-05 |
| 1558996645 | Stacey E Moran | Occupational Therapist | 44124 Woodrige Parkway, Lansdowne, VA 20176 | 2020-03-09 |
| 1710531272 | Joseph H Kasuska Jr. | Specialist/Technologist | 19455 Deerfield Ave. Suite 306, Lansdowne, VA 20176 | 2019-08-01 |
| 1568935849 | Joel Manalang Polintan Jr. | Physical Therapist | 171 Cedarwalk Circle, Leesburg, VA 20176 | 2019-01-09 |
| 1194203026 | Jing Cao | Acupuncturist | 19450 Deerfield Ave Ste 275, Leesburg, VA 20176 | 2018-08-02 |
| 1134648314 | Alaina Marie Gotwalt | Speech-Language Pathologist | 43850 Heatherstone Terrace, Unit 406, Leesburg, VA 20176 | 2017-09-19 |
| 1841717105 | Happy Inhome Care Corp | Respite Care | 722 E Market St Ste 103, Leesburg, VA 20176 | 2017-08-28 |
| 1912423484 | Aaa Good Healthcare LLC | Nursing Care | 722 East Market Street Ne, Suite 102, Leesburg, VA 20176 | 2017-08-16 |
| 1740704253 | Anna Maria Domingo Seaford | Physician Assistant | 19441 Golf Vista Plz Ste 230, Lansdowne, VA 20176 | 2017-07-27 |
| 1710436480 | Reena Patel | Physician Assistant | 224 Cornwall St Nw Leesburg Orthope, Unit 204, Leesburg, VA 20176 | 2016-09-23 |
| Find all providers in zip 20176 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184245508 | Sarah Vanlandingham | Psychologist | 210 Wirt St Sw Ste B3, Leesburg, VA 20175-2929 | 2020-04-27 |
| 1912371527 | Stacy Baron | Psychologist | 7 Royal St Sw, Suite 210, Leesburg, VA 20175-2912 | 2015-11-19 |
| 1104228121 | Sofia Graham | Psychologist | 222 Catoctin Cir Se Ste 126, Leesburg, VA 20175-3730 | 2014-09-22 |
| 1558788216 | Dr Karen Larson & Associates, LLC | Psychologist | 19415 Deerfield Ave Suite 308, Leesburg, VA 20176 | 2014-03-19 |
| 1316376171 | Tara Culbreth Seward | Psychologist | 540 Fort Evans Rd Ste 200, Leesburg, VA 20176-3379 | 2013-11-02 |
| 1619251287 | Kenneth J. Cochrane, Ph.d., LLC | Psychologist | 5635 Celebration Way, Leesburg, FL 34748-8379 | 2011-09-30 |
| 1942507611 | Stacey Race | Psychologist | 41347 Raspberry Drive, Leesburg, VA 20176 | 2011-02-16 |
| 1710204292 | Leesburg Psychology | Psychologist | 8529 Us Highway 441, Leesburg, FL 34788-4021 | 2010-04-23 |
| 1215174685 | Sheila Donaldson Duston | Psychologist | 100 Dry Mill Rd Sw Ste 102, Leesburg, VA 20175-2636 | 2009-01-07 |
| 1194887786 | Robert John Verdile | Psychologist | 201 S King St, Leesburg, VA 20175-2905 | 2006-12-14 |
| Find all providers in LEESBURG | ||||
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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.