PEAK NEUROTRAINING SOLUTIONS, INC (NPI# 1265860787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265860787 |
| Entity Type | Organization |
| Organization Name | PEAK NEUROTRAINING SOLUTIONS, INC |
| Other Organization Name | PEAK NT |
| Practice Address |
107 E Holly Ave Suite 13 Sterling VA 20164-5405 |
| Practice Telephone | 7034447325 |
| Practice Fax Number | 7034447325 |
| Mailing Telephone | 7034447325 |
| Mailing Fax Number | 7034447325 |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |
| Authorized Official Name | MR. DONALD RICHARD DUROUSSEAU (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7036060670 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810003784 | VA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| PEAK NT | Doing Business As Name - Organization |
| Street Address |
107 E HOLLY AVE SUITE 13 |
| City | STERLING |
| State | VA |
| Zip Code | 20164-5405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861442758 | Ann Mecherikunnel | Internal Medicine | 107 E Holly Ave, #3, Sterling, VA 20164-5405 | 2006-05-11 |
| 1043678337 | Sterling Family Dental | Dentist | 107 E Holly Ave, 9, Sterling, VA 20164-5405 | 2016-02-02 |
| 1649698804 | Edward J. Plekavich | Dentist | 107 E Holly Ave, Suite 2, Sterling, VA 20164-5405 | 2014-04-03 |
| 1275717324 | William Joseph Nanna | Dentist | 107 E Holly Ave, 5, Sterling, VA 20164 | 2007-12-26 |
| 1255512992 | Internal Medicine Center P.l.c | Internal Medicine | 107 E Holly Ave, Ste 3, Sterling, VA 20164-5405 | 2007-11-23 |
| 1194906743 | Orthopedic Hand Center P.l.c | Orthopaedic Surgery | 107 E Holly Ave, Ste 3, Sterling, VA 20164-5405 | 2007-11-23 |
| 1518185636 | Edward John Bernhart | Dentist | 107 E Holly Ave, Suite #5, Sterling, VA 20164-5405 | 2007-04-23 |
| 1053478974 | Roger Drew | Counselor | 107 E Holly Ave, Suite 13, Sterling, VA 20164-5405 | 2007-01-02 |
| 1336217660 | Nancy Martin Wilson | Social Worker | 107 E Holly Ave, Suite 13, Sterling, VA 20164-5405 | 2006-12-04 |
| 1720030612 | Paul Thomas Mecherikunnel | Orthopaedic Surgery | 107 E Holly Ave, Ste 3, Sterling, VA 20164-5405 | 2006-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255962239 | Ying Jiu Liu | Acupuncturist | 45665 W Church Rd #110 Stering, Stering, VA 20164 | 2020-01-29 |
| 1417599986 | Nab Homecare, Inc. | In Home Supportive Care | 45640 Willow Pond Plaza, Suite 100, Sterling, VA 20164 | 2019-10-16 |
| 1962905323 | Grace A Oluwadiya | Registered Nurse | 21335 Signal Hill Plaza, Suite 270, Sterling, VA 20164 | 2018-03-13 |
| 1922468602 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21399 Epicerie Plaza, Sterling, VA 20164 | 2016-02-24 |
| 1942625603 | Totalmobility LLC | Durable Medical Equipment & Medical Supplies | 201 Davis Drive, Suite Nn, Sterling, VA 20164 | 2014-03-04 |
| 1346689189 | Traci Collier | Pharmacist | 22375 Davis Dr, Sterling, VA 20164 | 2013-06-14 |
| 1770842536 | Costco Pharmacy 218 | Clinic/Center | 21398 Price Cascades Plaza, Sterling, VA 20164 | 2012-05-14 |
| 1922371426 | Totalmobility, LLC | Durable Medical Equipment & Medical Supplies | 111k Carpenter Drive, Sterling, VA 20164 | 2012-02-14 |
| 1750676789 | Sheikh M Rasul | Pharmacist | 20600 Great Falls Plaza, Sterling, VA 20164 | 2011-06-17 |
| 1932260114 | Veena Railan | Family Medicine | 101 E.holly Avenue, Unit 9, Sterling, VA 20164 | 2006-12-12 |
| Find all providers in zip 20164 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008492 | Nicole N Hashemian | Clinical Neuropsychologist | 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 | 2020-09-18 |
| 1447877527 | Sabrina Kate Jennings | Clinical Neuropsychologist | 8100 Innovation Park Dr, Fairfax, VA 22031-4870 | 2020-07-06 |
| 1831710755 | Reston Precision Neuropsychology LLC | Clinical Neuropsychologist | 441-d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2020-05-01 |
| 1841848504 | Dr Vivian Begali Lcp Facpn Abn Abpp LLC | Clinical Neuropsychologist | 9327 Midlothian Tpke Ste 1c, North Chesterfield, VA 23235-4965 | 2019-08-27 |
| 1528527140 | Natalia Lugina Mauranne | Clinical Neuropsychologist | 441d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2019-03-13 |
| 1518434604 | Jessica Isabel Alva | Clinical Neuropsychologist | 12735 Inverness Way, Woodbridge, VA 22192-5038 | 2018-10-27 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1851801708 | William David Crews Jr. | Clinical Neuropsychologist | 118 Dreaming Creek Dr, Lynchburg, VA 24502-2735 | 2017-10-05 |
| 1306360425 | Nacmed | Clinical Neuropsychologist | 90 Chatham Heights Rd, Fredericksburg, VA 22405-2566 | 2017-07-31 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
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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.