DR. BRITTANY BAK (NPI# 1083263768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083263768 |
| Entity Type | Individual |
| Full Name | DR. BRITTANY BAK |
| Credential | PSY.D. |
| Practice Address |
4601 Ironbound Rd Williamsburg VA 23188-2648 |
| Mailing Address |
5100 Parker St Richmond VA 23231-3726 |
| Practice Telephone | 7572087668 |
| Mailing Telephone | 4407593797 |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810005794 | VA | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
0810005794 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11545 Nuckols Rd Ste B, Glen Allen, VA 230595666 | 8047938285 |
| Street Address |
4601 IRONBOUND RD |
| City | WILLIAMSBURG |
| State | VA |
| Zip Code | 23188-2648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861490344 | Eastern State Hospital | Pharmacy | 4601 Ironbound Rd, Pharmacy Box 8791, Williamsburg, VA 23188-2648 | 2005-07-08 |
| 1417578428 | Hannah Olson | Occupational Therapist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-04-30 |
| 1366079113 | Hali Griswold | Psychologist | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2020-03-23 |
| 1851933147 | Gia Davila | Social Worker | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-10-08 |
| 1457913964 | Kojo Sarfo | Nurse Practitioner | 4601 Ironbound Rd, Williamsburg, VA 23188 | 2019-07-03 |
| 1982269841 | Carmen Kristina Ramos | Physical Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-07 |
| 1730744087 | Victoria Taylor-bowman | Occupational Therapy Assistant | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2019-05-02 |
| 1568959831 | William Menton | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-22 |
| 1619474103 | Jeremy Matthew Schreiber | Student in an Organized Health Care Education/Training Program | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2018-04-10 |
| 1689192007 | Kimberly Farley | Nurse Practitioner | 4601 Ironbound Rd, Williamsburg, VA 23188-2648 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992287833 | Kathryn Goss Atanasov | Counselor | Farley Iop Williamsburg Place, 5477 Mooretown Road, Williamsburg, VA 23188 | 2018-09-06 |
| 1386180933 | Brittany Marie Purdy | Physical Therapist | 6425 Richmond Road, Williamsburg, VA 23188 | 2017-01-06 |
| 1770930745 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 6485 Centerville Rd, Williamsburg, VA 23188 | 2016-05-19 |
| 1073979738 | Sharon Harper | Social Worker | 4732 Longhill Road, Suite 3202, Williamsburg, VA 23188 | 2016-01-12 |
| 1710362819 | Diamond Healthcare | Social Worker | 5477 Mooretown Road, Williamsburg Place, Williamsburg, VA 23188 | 2015-07-30 |
| 1922489749 | Uc Davis Medical Center | General Acute Care Hospital | 3905 Cold Spring Rd, Williamsburg, VA 23188 | 2015-06-17 |
| 1013326214 | Deandra Smith | Developmental Therapist | 111 Bulifants Blvd Ste B, Williamsburg, VA 23188 | 2014-08-13 |
| 1255751590 | Lisa Marie Frazier | Counselor | 4345 New Town Ave. Ste. 107a, Williamsburg, VA 23188 | 2014-04-25 |
| 1972883569 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 7529 Richmond Rd, Williamsburg, VA 23188 | 2011-08-26 |
| 1720386816 | Harry Leon White | Pharmacist | 114 Molesey Hurst, Williamsburg, VA 23188 | 2011-03-14 |
| Find all providers in zip 23188 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164618187 | Ann P Vanskiver | Psychologist | 309 Buford Rd, Williamsburg, VA 23188-1510 | 2007-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396047270 | Roger H Belisle | Psychologist | 5329 Gainsborough Dr, Fairfax, VA 22032-2742 | 2010-11-24 |
| 1417229766 | Ramia Gupta Md PC | Psychologist | 411 1/2 N Washington St, Alexandria, VA 22314-2311 | 2012-02-02 |
| 1932420460 | Yee Kan | Psychologist | 1215 Lee St, Box 800203, Charlottesville, VA 22908-0816 | 2010-06-18 |
| 1568793933 | Karen E Greenberg | Psychologist | 9300 Forest Point Cir, Suite 174, Manassas, VA 20110-4765 | 2010-01-24 |
| 1154410991 | David H. Keenan, M.s.w., Ed.d. | Psychologist | 6330 Newtown Rd, Suite 410, Norfolk, VA 23502-4802 | 2006-10-12 |
| 1811098668 | Mark Errol Hastings | Psychologist | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2006-09-26 |
| City | WILLIAMSBURG |
| Zip Code | 23188 |
Please comment or provide details below to improve the information on DR. BRITTANY BAK.
| 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.