JASON GRAINER


Address: 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800
Phone: 7035698731

JASON GRAINER (NPI# 1124387253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124387253
Entity Type Individual
Full Name JASON GRAINER
Credential PH.D.
Practice Address 8134 Old Keene Mill Rd
Suite 101
Springfield
VA 22152-1800
Practice Telephone 7035698731
Practice Fax Number 7035697248
Mailing Telephone 7035698731
Mailing Fax Number 7035697248
Enumeration Date 2012-05-09
Last Update Date 2012-05-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810004573 VA Behavioral Health & Social Service Providers

Office Location

Street Address 8134 OLD KEENE MILL RD
SUITE 101
City SPRINGFIELD
State VA
Zip Code 22152-1800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356315840 Laura M Gesicki-wood Allergy & Immunology 8134 Old Keene Mill Rd, 301, Springfield, VA 22152-1800 2006-02-14
1710370184 Laurie Dupuis Psychologist 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800 2015-03-10
1427455211 Lynette Whitney Counselor 8134 Old Keene Mill Rd, Springfield, VA 22152-1800 2014-11-23
1316340920 Nicole D. Morgan Psychologist 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800 2014-09-28
1225469653 Megan Dunbar Psychologist 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800 2013-12-11
1609216738 Reginald Henry Mcrae Psychologist 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800 2013-07-03
1043520679 Bain C Ford Psychologist 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800 2010-10-17
1982922712 Amanda L Warbel Psychologist 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800 2010-05-04
1558518449 Amy M Moskovitz Counselor 8134 Old Keene Mill Rd, Suite 101, Springfield, VA 22152-1800 2008-08-21
1992908313 Michael Randolph Lazear Dentist 8134 Old Keene Mill Rd, Suite 203, Springfield, VA 22152-1800 2007-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174140214 Samantha Maria Puller Physical Therapist 8348 Traford Lane Suite 200, Springfield, VA 22152 2020-07-05
1780102335 Illuminated Direction Health Maintenance Organization 6116 Rolling Road Suite 104, Springfield, VA 22152 2017-09-05
1023533650 Megan H Morrow Dentist 5803 Rolling Rd Ste 211, Springfield, VA 22152 2017-08-04
1851815179 Samantha Apoh Registered Nurse 6031 Sweet Oak Ct, Springfield, VA 22152 2017-07-28
1003366436 Caitriona Hayes Psychologist 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 2016-10-10
1114303450 Catherine L Kestle Social Worker 8136 Old Keene Mill Rd, Suite A-302, Springfield, VA 22152 2015-08-10
1770999658 Shehzad Muhammad Sajid Dentist 7200 Jillspring Ct, Springfield, VA 22152 2014-07-11
1063751295 Rapfhel Adebowale Adenola Nurse's Aide 7541 Boston Blvd, Springfield, VA 22152 2013-02-07
1669742706 Selamawit Harar Pharmacist 8414 Olk Keene Mill Rd, A, Springfield, VA 22152 2012-01-06
1275822116 Elizabeth Diane Reed Social Worker 8440 Old Keene Mill Rd., Family Counseling of Springfield, Springfield, VA 22152 2011-03-31
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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1710509187 Laura M Maggio Psychologist 11 Stephanie Cir, Springfield, MA 01129-1961 2020-05-08
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1194359216 Kathrin A Koehler Psychologist 4674 Hominy Ridge Rd, Springfield, OH 45502-8031 2020-02-27
1689126120 Assessment Consultants, LLC Psychologist 2146 W Chesterfield Blvd Ste E202, Springfield, MO 65807-8650 2016-11-01
1003366436 Caitriona Hayes Psychologist 8134 Old Keene Mill Road, Suite 101, Springfield, VA 22152 2016-10-10
1669929907 Richart Lipe Demier Psychologist 5871 S Northern Ridge Rd, Springfield, MO 65810-1976 2016-09-03
1043660905 Safe Harbor Christian Counseling of Northern Virginia LLC Psychologist 8304 Old Keene Mill Rd, Springfield, VA 22152-1640 2016-06-21
1659786432 Kimberly Wilkins Psyd LLC Psychologist 1344 W Oakville Rd, Springfield, MO 65810-1696 2014-06-30
1548507817 Bahn and Associates Psychologist 3000 Professional Dr Ste D, Bahn Consulting, Inc., Springfield, IL 62703-5931 2013-01-07
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Competitor

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City SPRINGFIELD
Zip Code 22152

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Dataset Information

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.

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