SOFIA GRAHAM (NPI# 1104228121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104228121 |
| Entity Type | Individual |
| Full Name | SOFIA GRAHAM |
| Other Name | SOFIA NORDGREN |
| Credential | PSY.D. |
| Practice Address |
222 Catoctin Cir Se Ste 126 Leesburg VA 20175-3730 |
| Mailing Address |
24400 Moon Glade Ct Aldie VA 20105-3148 |
| Practice Telephone | 7147716135 |
| Mailing Telephone | 5713796668 |
| Mailing Fax Number | 7037770170 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005529 | VA | Behavioral Health & Social Service Providers |
| Street Address |
222 CATOCTIN CIR SE STE 126 |
| City | LEESBURG |
| State | VA |
| Zip Code | 20175-3730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104450105 | Northern Lights Psychotherapy | Psychologist | 222 Catoctin Cir Se Ste 126, Leesburg, VA 20175-3730 | 2020-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033679063 | Warren Joseph Marion | Internal Medicine | 38483 Forest Mills Rd, Leesburg, VA 20175 | 2019-03-25 |
| 1346716925 | Karoline Danielle Seekford | Dentist | 706 S. King St., Suite #5, Leesburg, VA 20175 | 2018-10-22 |
| 1184137242 | K2m, Inc. | Orthopaedic Surgery | K2m, Inc., 600 Hope Parkway Se, Leesburg, VA 20175 | 2017-11-13 |
| 1821511122 | Barsha Baral | Taxi | 651 Tammy Ter Se, Leesburg, VA 20175 | 2017-07-19 |
| 1508316282 | Stefanie Moreno | Social Worker | 914 Rhonda Pl Se, Leesburg, VA 20175 | 2016-10-06 |
| 1164819280 | Hayley Robertson | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2015-04-16 |
| 1932597317 | Christine Sauthoff Carter | Speech-Language Pathologist | 212 Wingate Pl Sw, Leesburg, VA 20175 | 2015-01-07 |
| 1174946651 | Sucess By Therapeutic and Educational Play Services | Speech-Language Pathologist | 107 Pheasant Pl Sw, Leesburg, VA 20175 | 2014-02-04 |
| 1790115350 | Ahmed Salem | Behavioral Analyst | 801 Childrens Center Road Sw, Leesburg, VA 20175 | 2013-11-19 |
| 1386077337 | Kathleen Mary Harter | Physical Therapy Assistant | 224-d Cornwall Street, Suite 200, Leesburg, VA 20175 | 2013-08-14 |
| Find all providers in zip 20175 | ||||
| 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 |
| 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 |
| 1295800597 | Douglas Owen Lipp | Psychologist | Riverside Counseling Center, 44084 Riverside Parkway Suite 240, Leesburg, VA 20176 | 2006-11-21 |
| 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.