DR. JOHN FREDERICK CHILDRESS III (NPI# 1275551673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275551673 |
| Entity Type | Individual |
| Full Name | DR. JOHN FREDERICK CHILDRESS III |
| Credential | PH.D. |
| Practice Address |
810 Westwood Office Park Fredericksburg VA 22401-5121 |
| Mailing Address |
174 Hunting Green Ln Kents Store VA 23084-2284 |
| Practice Telephone | 5408994025 |
| Practice Fax Number | 5403743313 |
| Mailing Telephone | 4345911163 |
| Mailing Fax Number | 5403743313 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103TC0700X |
Psychologist Specialization: Clinical |
0810002716 | VA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0810002716 | VA | Behavioral Health & Social Service Providers |
| X | 103TH0100X |
Psychologist Specialization: Health Service |
0810002716 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164986329 | John Childress Iv | Case Manager/Care Coordinator | 4968 Glenway Ave, Cincinnati, OH 45238-3902 | 2019-01-22 |
| 1780902841 | John Clyde Childress IIi | Radiology | 700 E Morehead St, Ste 300, Charlotte, NC 28202-2788 | 2010-05-13 |
| 1568662781 | John Michael Childress | Social Worker | Blanchfield Army Community Hospital, 650 Jole Drive, Fort Campbell, KY 42223-5349 | 2007-07-25 |
| 1134157605 | John M. Childress | Emergency Medicine | 234 Goodman St, Cincinnati, OH 45219-2364 | 2006-06-30 |
| Street Address |
810 WESTWOOD OFFICE PARK |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-5121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639568546 | Margaret Walker | Behavioral Analyst | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2015-01-15 |
| 1104220607 | Mary Little | Specialist | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2014-10-14 |
| 1821498569 | Global Health | Clinic/Center | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2014-08-31 |
| 1447661871 | Manjit Sangha | Registered Nurse | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2014-05-20 |
| 1699197558 | Bethany Borgony | Speech-Language Pathologist | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2014-01-13 |
| 1386079820 | Global Healthcare Services, LLC | Speech-Language Pathologist | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2013-09-03 |
| 1740520634 | Shirley Nadine Bronston | Social Worker | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2013-02-28 |
| 1104179159 | Global Behavior Therapy Associates, LLC | Behavioral Analyst | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2012-10-16 |
| 1437409232 | Dkb Speech and Language Services Pllc | Durable Medical Equipment & Medical Supplies | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2012-09-19 |
| 1437409828 | Dkb Speech and Language Services Pllc | Interpreter | 810 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2012-09-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649524604 | Sarah F Fischer-etu | Psychologist | 510 Princess Anne St Ste 101, Fredericksburg, VA 22401-6077 | 2012-10-30 |
| 1265798102 | Simply Counseling, LLC | Psychologist | 10500 Wakeman Dr Ste 240, Fredericksburg, VA 22407-8012 | 2012-04-04 |
| 1790093961 | Patrice J Berry | Psychologist | 615 Jefferson Davis Hwy, Ste 202, Fredericksburg, VA 22401-8407 | 2010-09-21 |
| 1568777621 | Elisabeth Margaret Jerome | Psychologist | 510 Princess Anne St, Suite 101, Fredericksburg, VA 22401-6077 | 2010-08-13 |
| 1467766386 | Robyn A Van Brunt | Psychologist | 615 Jefferson Davis Hwy Ste 101, Fredericksburg, VA 22401-8407 | 2010-08-03 |
| 1902074982 | Laurencia C.d.l. Dusantos | Psychologist | 904 Princess Anne St Ste 402, Fredericksburg, VA 22401-5804 | 2008-02-13 |
| 1538359054 | William Edward Lynch IIi | Psychologist | 4607 Harrison Rd, Fredericksburg, VA 22408-1838 | 2007-07-31 |
| 1245420819 | Cynthia Gustafson Repanshek | Psychologist | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2007-07-30 |
| 1003979428 | Peak Mental Health Services, Pllc | Psychologist | 1133 Heatherstone Dr Ste 102, Fredericksburg, VA 22407-4828 | 2006-12-18 |
| 1124197579 | Michelle Sjolinder | Psychologist | 4020 Plank Rd, Unit A, Fredericksburg, VA 22407-4800 | 2006-11-07 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on DR. JOHN FREDERICK CHILDRESS III.
| 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.