DR. LORI BRISTOW (NPI# 1215276365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215276365 |
| Entity Type | Individual |
| Full Name | DR. LORI BRISTOW |
| Other Name | LORI A. BRISTOW, PHD, LLC |
| Credential | PH.D. |
| Practice Address |
6723 Whittier Ave Suite 206 Mc Lean VA 22101-4522 |
| Mailing Address |
7600 Lakeside Village Dr Unit D Falls Church VA 22042-7548 |
| Practice Telephone | 7034770692 |
| Enumeration Date | 2013-02-10 |
| Last Update Date | 2016-08-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810004605 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730173188 | Lori Elizabeth Bristow | Specialist/Technologist | 5407 Roland Ave, Baltimore, MD 21210-1938 | 2005-08-31 |
| Street Address |
6723 WHITTIER AVE SUITE 206 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180300 | Nordine Gaugau | Radiology | 6723 Whittier Ave, Ste 306, Mc Lean, VA 22101-4533 | 2006-03-29 |
| 1053835785 | John Leso | Psychologist | 6723 Whittier Ave, Mc Lean, VA 22101-4522 | 2017-08-03 |
| 1821440488 | Yvette Mitchell | Social Worker | 6723 Whittier Ave, Suite 207, Mc Lean, VA 22101-4522 | 2016-07-07 |
| 1285002808 | Image Guided Surgery Center, LLC | Radiology | 6723 Whittier Ave, Mc Lean, VA 22101-4522 | 2015-09-14 |
| 1023366200 | Stephanie Husik Tebor | Psychologist | 6723 Whittier Ave, Suite 405-c, Mc Lean, VA 22101-4522 | 2012-08-21 |
| 1083858351 | Martha R. Miller | Social Worker | 6723 Whittier Ave, Suite 406, Mc Lean, VA 22101-4522 | 2009-04-29 |
| 1487892014 | Vivian Allison Shelton | Psychologist | 6723 Whittier Ave, Suite 207, Mc Lean, VA 22101-4522 | 2009-02-04 |
| 1831378694 | Psychology Associates of Northern Virginia, LLC | Psychologist | 6723 Whittier Ave, Suite #206, Mc Lean, VA 22101-4522 | 2007-10-29 |
| 1023158714 | Mary Lou Lyon | Counselor | 6723 Whittier Ave, Suite 406, Mc Lean, VA 22101-4522 | 2007-02-08 |
| 1144384009 | Anna Maria Lucca | Psychologist | 6723 Whittier Ave, Suite 207, Mc Lean, VA 22101-4522 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| 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 |
|---|---|---|---|---|
| 1902412919 | Eleni Rizakos | Psychologist | 8401 Greensboro Dr Ste 550, Mc Lean, VA 22102-5146 | 2020-09-16 |
| 1750717393 | Amy J Angleman | Psychologist | 8283 Greensboro Dr, Mc Lean, VA 22102-3830 | 2013-09-14 |
| 1710154562 | Courtnee Ann Pelton | Psychologist | 6830 Elm St, Mc Lean, VA 22101-3874 | 2008-05-12 |
| 1740796903 | Lori Barfield | Psychologist | 6845 Elm St Ste 507, Mc Lean, VA 22101-3859 | 2017-12-22 |
| 1053835785 | John Leso | Psychologist | 6723 Whittier Ave, Mc Lean, VA 22101-4522 | 2017-08-03 |
| 1851812226 | Katie Sinclair Kelly | Psychologist | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2017-07-06 |
| 1255879045 | Beth Gouse | Psychologist | 1489 Chain Bridge Rd, 203, Mc Lean, VA 22101-5724 | 2017-02-01 |
| 1356612527 | Maria L. Dittrich | Psychologist | 6801 Whittier Ave, Mc Lean, VA 22101-4520 | 2012-01-19 |
| 1104134436 | Barbara Zelda Mazer | Psychologist | 6862 Elm St, Suite 230, Mc Lean, VA 22101-3897 | 2010-09-21 |
| 1881908697 | Wendy Beth Berger | Psychologist | 6862 Elm St, Suite 230, Mc Lean, VA 22101-3897 | 2010-08-04 |
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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.