DR. WANNA PROMMART (NPI# 1124151014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124151014 |
| Entity Type | Individual |
| Full Name | DR. WANNA PROMMART |
| Credential | PSYD |
| Practice Address |
205 S Whiting St Suite 601 Alexandria VA 22304-2227 |
| Mailing Address |
491 Naylor Pl Alexandria VA 22304-2227 |
| Practice Telephone | 5717228872 |
| Practice Fax Number | 7032128407 |
| Mailing Telephone | 5717228872 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810003512 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VMC BEHAVIOR HEALTH SERVI | 027984 | 01 | |
| MHN | 361274 | 01 | |
| CAREFIRST BLUE CROSS BLUE | 3769 | 01 | |
| ACQH | 11551672 | 01 | |
| ANTHEM BLUE CROSS BLUE SH | 199902 | 01 | |
| CIGNA | 3403124 | 01 |
| Street Address |
205 S WHITING ST SUITE 601 |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22304-2227 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173667 | Mary Lou Lindquist | Social Worker | 205 S Whiting St, Suite 402, Alexandria, VA 22304-7100 | 2005-09-07 |
| 1336514603 | John Mccoy | Psychologist | 205 S Whiting St, Suite 605, Alexandria, VA 22304-7100 | 2015-12-11 |
| 1942674429 | Erin Ross | Occupational Therapist | 205 S Whiting St, Suite 308, Alexandria, VA 22304-7100 | 2015-11-20 |
| 1750770343 | Krystie Nicole Wilson | Counselor | 205 S Whiting St, Alexandria, VA 22304-7100 | 2015-01-20 |
| 1740687409 | Karla Delgado | Counselor | 205 S Whiting St, Suite 603, Alexandria, VA 22304-7100 | 2014-11-24 |
| 1073868832 | Menopause Center Pllc | Obstetrics & Gynecology | 205 S Whiting St, # 303, Alexandria, VA 22304-7100 | 2012-07-18 |
| 1609019298 | Bestlife Healthcare Services | Local Education Agency (LEA) | 205 S Whiting St, 608, Alexandria, VA 22304-7100 | 2009-04-12 |
| 1558589093 | Catherine C. Cloud | Social Worker | 205 S Whiting St, Suite 605, Alexandria, VA 22304-7100 | 2007-04-22 |
| 1285776641 | Cheryl A. Colecchi, Ph.d., P.C. | Psychologist | 205 S Whiting St, Suite 603, Alexandria, VA 22304-7100 | 2007-02-13 |
| 1295873321 | Donna Hurlock | Obstetrics & Gynecology | 205 S Whiting St, Suite 303, Alexandria, VA 22304-7100 | 2007-02-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489768 | Anthony Michael Frato | Counselor | 205 S Whiting St #601, Alexandria, VA 22304 | 2020-02-14 |
| 1245885805 | Personal Touch Personal Care Providers, LLC | In Home Supportive Care | 4241-d8 Duke Street, Alexandria, VA 22304 | 2019-08-09 |
| 1336658772 | Jade F. Hillery | Doula | 5240 Duke St #310, Alexandria, VA 22304 | 2017-09-28 |
| 1447784731 | Aymara Matos | Behavioral Analyst | 5426 Richenbacher Ave Apt 100, Alexandria, VA 22304 | 2017-04-13 |
| 1659827871 | Tesfaye A Hailemariam Dds PC | Dentist | 5764 Dow Ave, Alexandria, VA 22304 | 2016-08-28 |
| 1912302605 | Alexandria Health Department | Clinic/Center | 1200 North Howard, Alexandria, VA 22304 | 2014-10-24 |
| 1497157663 | Aminata Jalloh | Registered Nurse | 101 South Whiting St, Alexandria, VA 22304 | 2014-09-19 |
| 1386075133 | Carla Renee Riley | Registered Nurse | 4320 Raleigh Ave, Apt 204, Alexandria, VA 22304 | 2013-12-04 |
| 1700223500 | Landmark Dental Care | Dentist | 101 S. Whiting St., Suite 100, Alexandria, VA 22304 | 2013-06-03 |
| 1114266954 | Stella M Meusch | Physician Assistant | 4230 Seminary Rd, Alexandria, VA 22304 | 2013-02-13 |
| Find all providers in zip 22304 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134600091 | Full Circle Mental Health Services | Psychologist | 301 N Fairfax St Ste 204a, Alexandria, VA 22314-2633 | 2018-08-28 |
| 1265881239 | Margaret Baisley | Psychologist | 5709 Marble Arch Way, Alexandria, VA 22315-4013 | 2016-06-09 |
| 1629434659 | Charles R. Barringer | Psychologist | 411 Crown View Dr, Alexandria, VA 22314-4803 | 2016-01-06 |
| 1912376807 | Kathryn Hanna Brideau | Psychologist | 2016 Mount Vernon Ave Ste 300, Alexandria, VA 22301-1367 | 2015-09-21 |
| 1972970317 | Alice Thomas | Psychologist | 6516 River Tweed Ln, Alexandria, VA 22312-3138 | 2015-09-01 |
| 1326446600 | April Simcox | Psychologist | 419 Euille St, Alexandria, VA 22314-2356 | 2014-12-18 |
| 1518387034 | Safe Harbor Psychological Services | Psychologist | 3331 Duke Street, Alexandria, VA 22314 | 2014-04-23 |
| 1194164053 | Carolyn D Murphy | Psychologist | 1100 Wythe St Unit 1174, Alexandria, VA 22313-8039 | 2013-06-24 |
| 1053661157 | Darrel Bonelle Turner | Psychologist | 620 Hummingbird Ln, Alexandria, LA 71303-2429 | 2012-09-15 |
| 1609153303 | Adam Brown Hess | Psychologist | 3033 Jackson St, Alexandria, LA 71301-4744 | 2011-11-08 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22304 |
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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.