DR. WILLIAM JOSEPH STEJSKAL (NPI# 1275689390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275689390 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM JOSEPH STEJSKAL |
| Credential | PHD |
| Practice Address |
4320 Prince William Pkwy Ste 109 Woodbridge VA 22192-8100 |
| Practice Telephone | (703) 680-4200 |
| Practice Fax Number | 7036805011 |
| Mailing Telephone | (703) 680-4200 |
| Mailing Fax Number | 7036805011 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 0810001635 | VA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810001635 | VA | Behavioral Health & Social Service Providers |
| N | 103TF0200X |
Psychologist Specialization: Forensic |
1475 | DC | Behavioral Health & Social Service Providers |
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
0810001635 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 145746 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2200 Opitz Blvd Ste 105b, Suite 105b, Woodbridge, VA 221913342 | 7034910042 | 7034919200 |
| Street Address |
4320 PRINCE WILLIAM PKWY STE 109 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-8100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255845434 | Valerie Dominique Ward | Psychologist | 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192-8100 | 2017-11-26 |
| 1932651247 | Richard Conner | Psychologist | 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192 | 2016-11-03 |
| 1366842999 | Jonathan Deright | Clinical Neuropsychologist | 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192-8100 | 2014-09-02 |
| 1114177003 | Sahair Kaboli-monfared | Psychologist | 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192-8100 | 2008-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396047270 | Roger H Belisle | Psychologist | 5329 Gainsborough Dr, Fairfax, VA 22032-2742 | 2010-11-24 |
| 1164618187 | Ann P Vanskiver | Psychologist | 309 Buford Rd, Williamsburg, VA 23188-1510 | 2007-09-24 |
| 1417229766 | Ramia Gupta Md PC | Psychologist | 411 1/2 N Washington St, Alexandria, VA 22314-2311 | 2012-02-02 |
| 1932420460 | Yee Kan | Psychologist | 1215 Lee St, Box 800203, Charlottesville, VA 22908-0816 | 2010-06-18 |
| 1568793933 | Karen E Greenberg | Psychologist | 9300 Forest Point Cir, Suite 174, Manassas, VA 20110-4765 | 2010-01-24 |
| 1154410991 | David H. Keenan, M.s.w., Ed.d. | Psychologist | 6330 Newtown Rd, Suite 410, Norfolk, VA 23502-4802 | 2006-10-12 |
| 1811098668 | Mark Errol Hastings | Psychologist | 102 Heritage Way Ne Ste 302, Leesburg, VA 20176-4544 | 2006-09-26 |
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on DR. WILLIAM JOSEPH STEJSKAL.
| 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.