RICHARD C BAITHER (NPI# 1346249026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346249026 |
| Entity Type | Individual |
| Full Name | RICHARD C BAITHER |
| Credential | PHD |
| Practice Address |
8500 Executive Park Ave Suite 200 Fairfax VA 22031-2225 |
| Practice Telephone | 7036985200 |
| Practice Fax Number | 7035732351 |
| Mailing Telephone | 7036985200 |
| Mailing Fax Number | 7035732351 |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2011-11-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810001356 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | MAMSI | 345093 | 01 |
| MAMSI | 445093 | 01 | |
| AETNA | 4231241 | 01 | |
| VA | MAGELLAN | 105251-000 | 01 |
| VA | NCPPO | 513429 | 01 |
| DC | CAREFIRST NCA | 0009 | 01 |
| VA | ANTHEM | 202939 | 01 |
| VA | VALUE OPTIONS | 031140 | 01 |
| VA | TRICARE | 72463341 | 01 |
| Street Address |
8500 EXECUTIVE PARK AVE SUITE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073161964 | Cristina Nayda Thurber | Physician Assistant | 8500 Executive Park Ave, Fairfax, VA 22031-2225 | 2019-09-03 |
| 1083113559 | Kirsten E West | Chiropractor | 8500 Executive Park Ave, Fairfax, VA 22031-2225 | 2018-02-09 |
| 1770031916 | Wynn Wellness Center LLC | Chiropractor | 8500 Executive Park Ave, Suite 308, Fairfax, VA 22031-2225 | 2016-09-16 |
| 1275934622 | Autism Continuum Therapies LLC | Behavioral Analyst | 8500 Executive Park Ave, Suite 408, Fairfax, VA 22031-2225 | 2014-09-04 |
| 1740699537 | Ronald Lieberman | Social Worker | 8500 Executive Park Ave, 204, Fairfax, VA 22031-2225 | 2014-08-06 |
| 1760811855 | All Pro Dental Care | Health Maintenance Organization | 8500 Executive Park Ave, Suite 208, Fairfax, VA 22031-2225 | 2013-11-08 |
| 1134488398 | Kelly Murphy | Counselor | 8500 Executive Park Ave, Fairfax, VA 22031-2225 | 2012-05-09 |
| 1093945727 | Siddharth Bajpai | Psychiatry & Neurology | 8500 Executive Park Ave, Ste 200, Fairfax, VA 22031-2228 | 2009-07-15 |
| 1932346046 | Anthony M Gullo | Social Worker | 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225 | 2009-01-12 |
| 1558518514 | Irina Feodor Samuels | Psychiatry & Neurology | 8500 Executive Park Ave, Suite 200, Fairfax, VA 22031-2225 | 2008-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| 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 |
|---|---|---|---|---|
| 1780239616 | Vanessa Lee Buonopane | Psychologist | 11166 Fairfax Blvd Ste 207, Fairfax, VA 22030-5017 | 2019-08-07 |
| 1124587613 | Inspired Courage Counseling and Consultation | Psychologist | 10560 Main St Unit 120, Fairfax, VA 22030-7182 | 2019-03-14 |
| 1073095006 | Ronald W Motley | Psychologist | 10836 Broadwater Dr, Fairfax, VA 22032-3007 | 2018-09-06 |
| 1053899872 | Giovanna A. Otfinowski | Psychologist | 342 Cascade Dr, Fairfax, CA 94930-2107 | 2018-08-02 |
| 1093112096 | Amy Gabel | Psychologist | 12881 Crouch Dr, Fairfax, VA 22030-7288 | 2014-11-19 |
| 1548608904 | Virginia Marie Deroma | Psychologist | 9530 Lee Hwy, Fairfax, VA 22031-2308 | 2013-06-07 |
| 1760614705 | Amanda L Thompson | Psychologist | 8081 Innovation Park Dr Ste 2201, Fairfax, VA 22031-4867 | 2009-08-09 |
| 1306009899 | James Peter Osterhaus | Psychologist | 3541 Chain Bridge Rd Ste 6, Fairfax, VA 22030-2793 | 2008-07-07 |
| 1518150408 | Kathleen Michele Hutchinson | Psychologist | 10301 Democracy Ln Ste 201, Fairfax, VA 22030 | 2007-08-23 |
| 1013030832 | Dk. Elaine Williams, P.C. | Psychologist | 3615 Chain Bridge Rd, Suite F, Fairfax, VA 22030-3237 | 2007-04-08 |
| Find all providers in FAIRFAX | ||||
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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.