TRACEY FATZINGER (NPI# 1083874051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083874051 |
| Entity Type | Individual |
| Full Name | TRACEY FATZINGER |
| Credential | PH.D. |
| Practice Address |
11311 Business Center Dr Ste C North Chesterfield VA 23236-3199 |
| Mailing Address |
4919 Park Meadows Ln Glen Allen VA 23059-2518 |
| Practice Telephone | 8043786141 |
| Mailing Telephone | 8043148780 |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2013-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810003548 | VA | Behavioral Health & Social Service Providers |
| Street Address |
11311 BUSINESS CENTER DR STE C |
| City | NORTH CHESTERFIELD |
| State | VA |
| Zip Code | 23236-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003380254 | Ana Green | Behavior Technician | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2019-01-21 |
| 1356815500 | Kiara Dennison | Behavior Technician | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2019-01-21 |
| 1457869372 | Gwendolyn Smith | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1982112801 | Rasha Manoppo | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1568970499 | Niaimani Aduma | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1629586557 | Nichole Jessie | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1811405731 | Aylisa Hopkins | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1336657253 | Curtis Handy | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1033627963 | Jan Michael Llanda | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2018-01-12 |
| 1922514512 | Robert Harper | Behavioral Analyst | 11311 Business Center Dr Ste C, North Chesterfield, VA 23236-3199 | 2017-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170064 | Yuly Angelica Willard | Assistant Behavior Analyst | 300 Arboretum Pl, Suite 500, Richmond, VA 23236 | 2020-09-28 |
| 1134752892 | Michelle Bland | Mastectomy Fitter | 11533 Busy Street, Mailbox #307, N. Chesterfield, VA 23236 | 2020-02-20 |
| 1629610449 | Daniel John Lammon IIi | Behavioral Analyst | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2019-10-14 |
| 1932750320 | Carmelle A Roberts | Technician | 929 Meadowcreek Dr, North Chesterfield, VA 23236 | 2019-09-26 |
| 1386208163 | Mincey Enterprises Inc Dba Senior Helpers | Homemaker | 257 Wadsworth Drive, Richmond, VA 23236 | 2019-04-26 |
| 1306321591 | Katherine Gail Villacorta | Behavior Technician | 9201 Arboretum Pkwy #160, Richmond, VA 23236 | 2018-10-03 |
| 1841713120 | Your Taxi, Inc. | Taxi | 9409 Hull Street Road, Suite F-2, North Chesterfield, VA 23236 | 2017-07-19 |
| 1790125987 | James River Home Health Care, LLC | Home Health | 9100 Arboretum Parkway, Ste 290, North Chesterfield, VA 23236 | 2013-07-02 |
| 1164779591 | Christian Thomsen | Military Health Care Provider | 2510 Camelback Road, Richmond, VA 23236 | 2012-08-03 |
| 1780959171 | Shelby Johnson | Anesthesiology | 215 Wadsworth Drive, Richmond, VA 23236 | 2012-03-19 |
| Find all providers in zip 23236 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386094209 | Kate Jones | Psychologist | 7724 Belfield Rd, North Chesterfield, VA 23237-2158 | 2016-06-22 |
| 1326415837 | Rae-anne Dougan | Psychologist | 1215 Mall Dr, North Chesterfield, VA 23235-4737 | 2015-09-01 |
| 1568712065 | Roxanne Bayan Dzierzewski | Psychologist | 1901 Huguenot Rd Ste 305, North Chesterfield, VA 23235 | 2012-09-12 |
| 1710245030 | Mitchell C. Reid | Psychologist | 3036 Waddington Dr, North Chesterfield, VA 23224-5724 | 2012-04-24 |
| 1699082065 | Michael T Miesner | Psychologist | 1000 Boulers Parkway Ste 102, North Chesterfield, VA 23225 | 2010-09-08 |
| 1558674986 | Sarah K Mcelroy | Psychologist | 8720 Forest Hill Ave, North Chesterfield, VA 23235-2432 | 2010-07-14 |
| 1124341052 | Jennifer P. M. Strickland | Psychologist | 1900 Hickstead Rd, North Chesterfield, VA 23236-2107 | 2010-03-06 |
| 1568547081 | Gordon R. Walker Jr. | Psychologist | 804 Moorefield Park Dr, Suite 201, North Chesterfield, VA 23236-3670 | 2006-10-25 |
| 1922181668 | Joann M. Thomas-wilson | Psychologist | 2545 Bellwood Rd, North Chesterfield, VA 23237-4472 | 2006-10-24 |
| 1295384147 | Jessica Tate | Psychologist | 6603 Irongate Sq, North Chesterfield, VA 23234-6081 | 2019-09-04 |
| Find all providers in NORTH CHESTERFIELD | ||||
| City | NORTH CHESTERFIELD |
| Zip Code | 23236 |
Please comment or provide details below to improve the information on TRACEY FATZINGER.
| 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.