ANNABELLA KLOCKNER GONZALEZ (NPI# 1134623119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134623119 |
| Entity Type | Individual |
| Full Name | ANNABELLA KLOCKNER GONZALEZ |
| Credential | M.A., C.A.G.S. |
| Practice Address |
8270 Willow Oaks Corporate Dr Ste 3069 Fairfax VA 22031-4511 |
| Practice Telephone | 5714234250 |
| Enumeration Date | 2018-03-22 |
| Last Update Date | 2018-03-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Street Address |
8270 WILLOW OAKS CORPORATE DR STE 3069 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-4511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730682667 | Kathryn Casterline | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-16 |
| 1407340425 | Evangelia Mavridou | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-06-22 |
| 1689163354 | Carol Ann Forrest | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-05-08 |
| 1659878759 | Elizabeth Rebecca Harris | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-04-06 |
| 1720584923 | Meredith Braithwaite | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-04-05 |
| 1083110316 | Abigail Conner | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1073019097 | Walena G Haider | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-30 |
| 1942705199 | Lisa Nesson | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-29 |
| 1457856494 | Beth Gelfand | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-29 |
| 1205331576 | Kelley Wells | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1235624230 | Kathleen Thibodeau | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3050, Fairfax, VA 22031-4511 | 2018-06-22 |
| 1679079917 | Stephanie Melton Harris | Psychologist | 8270 Willow Oaks Co Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1346746955 | Margaret Moore | Psychologist | 8270 Willow Oaks Co Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-04-03 |
| 1730682667 | Kathryn Casterline | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-16 |
| 1639671605 | Marissa Danielle Bilodeau | Psychologist | 8270 Willow Oaks Corporate Dr Ste 2069, Fairfax, VA 22031-4511 | 2018-03-06 |
| 1427550029 | Emily Hannah Perlman | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3061, Fairfax, VA 22031-4511 | 2018-02-28 |
| Find all providers in FAIRFAX | ||||
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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.