DR. LANA ADIL MAHGOUB (NPI# 1164912820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164912820 |
| Entity Type | Individual |
| Full Name | DR. LANA ADIL MAHGOUB |
| Credential | PHD, LP |
| Practice Address |
3101 American Legion Rd Ste 23 Chesapeake VA 23321-5655 |
| Practice Telephone | 7574483630 |
| Mailing Telephone | 7574832580 |
| Enumeration Date | 2018-05-17 |
| Last Update Date | 2019-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | 11460 | NE | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 13460 Walsh Dr, Boys Town, NE 680107529 | 5313553358 | 5313553375 |
| Street Address |
3101 AMERICAN LEGION RD STE 23 |
| City | CHESAPEAKE |
| State | VA |
| Zip Code | 23321-5655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306315221 | Brandy Kelly Richeson | Counselor | 3101 American Legion Rd Ste 23, Chesapeake, VA 23321-5655 | 2018-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538475 | Yvonne Cotton | Social Worker | 3201 Churchland Blvd Suite 3, Chesapeake, VA 23321 | 2020-11-04 |
| 1073120242 | Peace In Life, LLC. | Custodial Care Facility | 3101 American Legion Road 21a, Chesapeake, VA 23321 | 2020-09-30 |
| 1497382337 | Diversified Transportation Solutions | Meals | 4940 Portsmouth Blvd. #222, Chesapeake, VA 23321 | 2020-03-23 |
| 1952895344 | Jasmine Wilkins | Private Vehicle | 4112 Jennifer Cres, Chesapeake, VA 23321 | 2018-06-19 |
| 1891219804 | P & S Home Health Care Solutions | Home Health | 3217 Western Branch Blvd, Suite B, Chesapeake, VA 23321 | 2017-08-01 |
| 1316467145 | Chelsea Ellison | Occupational Therapist | 3253 Taylor Rd Ste 200, Chesapeake, VA 23321 | 2017-06-22 |
| 1932655313 | Bhg Xli, LLC | Clinic/Center | 3322 Western Branch Blvd Ste A, Chesapeake, VA 23321 | 2016-08-26 |
| 1891189429 | Kelly C Diguilio | Social Worker | 4142 Chesapeake Square Blvd, Chesapeake, VA 23321 | 2015-03-20 |
| 1447665336 | Clancey Page | Behavioral Analyst | 4016 Raintree Rd Ste 200a, Chesapeake, VA 23321 | 2014-06-30 |
| 1558786228 | Mary Elizabeth Whitley | Home Health Aide | 3933 Galleon Dr., Chesapeake, VA 23321 | 2014-03-04 |
| Find all providers in zip 23321 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161368 | Nancy Watt Marin | Psychologist | 5060 37th St N, Arlington, VA 22207-1823 | 2016-09-05 |
| 1407221716 | Spectrum Psychological and Neurotherapy PC | Psychologist | 4542 Bonney Rd Ste B, Virginia Beach, VA 23462 | 2015-12-11 |
| 1346613668 | Brian Edward Razzino | Psychologist | 150 Little Falls St Ste 200, Falls Church, VA 22046-4315 | 2015-11-09 |
| 1538597448 | Jadig Garcia | Psychologist | 10571 Telegraph Rd Ste 110, Glen Allen, VA 23059-4652 | 2013-10-31 |
| 1629327226 | Angela Michelle Malo | Psychologist | 11480 Sunset Hills Rd, Reston, VA 20190-5265 | 2012-08-29 |
| 1093092272 | Peter F Cooper | Psychologist | 359 Sherwood Ave, Staunton, VA 24401-4430 | 2011-11-15 |
| 1972889871 | Sara Markese Phd Pllc | Psychologist | 2813 Lee Oaks Ct, Suite 304, Falls Church, VA 22046-7336 | 2011-10-24 |
| 1457644585 | Tara Banks Wallace | Psychologist | 8626 Lee Hwy Ste 200, Fairfax, VA 22031-2135 | 2011-05-23 |
| 1598088502 | Megan F Gerbracht | Psychologist | 1489 Chain Bridge Rd Ste 203, Mc Lean, VA 22101-5724 | 2010-03-04 |
| 1346572351 | Jill Allison Ferrante Gasper | Psychologist | 508 Libbie Ave, Suite 100, Richmond, VA 23226-2618 | 2010-02-02 |
| Find all providers with the same taxonomy | ||||
| City | CHESAPEAKE |
| Zip Code | 23321 |
Please comment or provide details below to improve the information on DR. LANA ADIL MAHGOUB.
| 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.