DR. ROGER H BELISLE (NPI# 1396047270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396047270 |
| Entity Type | Individual |
| Full Name | DR. ROGER H BELISLE |
| Credential | PH.D. |
| Practice Address |
5329 Gainsborough Dr Fairfax VA 22032-2742 |
| Practice Telephone | 7035871903 |
| Mailing Telephone | 7035871903 |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TF0200X |
Psychologist Specialization: Forensic |
Behavioral Health & Social Service Providers |
| Street Address |
5329 GAINSBOROUGH DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 103TF0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Forensic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
Please comment or provide details below to improve the information on DR. ROGER H BELISLE.
| 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.