DR. VIVIAN ALLISON SHELTON (NPI# 1487892014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487892014 |
| Entity Type | Individual |
| Full Name | DR. VIVIAN ALLISON SHELTON |
| Credential | PSY.D. |
| Practice Address |
6723 Whittier Ave Suite 207 Mc Lean VA 22101-4522 |
| Practice Telephone | 7034756478 |
| Mailing Telephone | 7034756478 |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2019-05-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
8990 | MA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810003370 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE SHIELD | 1487892014 | 01 |
| MA | TUFTS | 1487892014 | 01 |
| MEDICARE | 001065301 | 01 | |
| MA | NEIGHBORHOOD HEALTH | 213380 | 01 |
| AETNA | 6901895/5887718 | 01 |
| Street Address |
6723 WHITTIER AVE SUITE 207 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-4522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134180300 | Nordine Gaugau | Radiology | 6723 Whittier Ave, Ste 306, Mc Lean, VA 22101-4533 | 2006-03-29 |
| 1053835785 | John Leso | Psychologist | 6723 Whittier Ave, Mc Lean, VA 22101-4522 | 2017-08-03 |
| 1821440488 | Yvette Mitchell | Social Worker | 6723 Whittier Ave, Suite 207, Mc Lean, VA 22101-4522 | 2016-07-07 |
| 1285002808 | Image Guided Surgery Center, LLC | Radiology | 6723 Whittier Ave, Mc Lean, VA 22101-4522 | 2015-09-14 |
| 1215276365 | Lori Bristow | Psychologist | 6723 Whittier Ave, Suite 206, Mc Lean, VA 22101-4522 | 2013-02-10 |
| 1023366200 | Stephanie Husik Tebor | Psychologist | 6723 Whittier Ave, Suite 405-c, Mc Lean, VA 22101-4522 | 2012-08-21 |
| 1083858351 | Martha R. Miller | Social Worker | 6723 Whittier Ave, Suite 406, Mc Lean, VA 22101-4522 | 2009-04-29 |
| 1831378694 | Psychology Associates of Northern Virginia, LLC | Psychologist | 6723 Whittier Ave, Suite #206, Mc Lean, VA 22101-4522 | 2007-10-29 |
| 1023158714 | Mary Lou Lyon | Counselor | 6723 Whittier Ave, Suite 406, Mc Lean, VA 22101-4522 | 2007-02-08 |
| 1144384009 | Anna Maria Lucca | Psychologist | 6723 Whittier Ave, Suite 207, Mc Lean, VA 22101-4522 | 2006-12-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598295461 | Lee Wong-holland, Psy.d., LLC | Psychologist | 6845 Elm St Ste 507, Mc Lean, VA 22101-3859 | 2017-06-14 |
| 1306282181 | Anastasia Noskova | Psychologist | 6723 Whittier Ave Ste 207, Mc Lean, VA 22101-4544 | 2013-05-20 |
| 1144570771 | Jeanine R. Carlson, Phd, LLC | Psychologist | 1487 Chain Bridge Rd Ste 202, Mc Lean, VA 22101-5723 | 2012-09-11 |
| 1104142496 | Ilana Ilkovitch Burgh | Psychologist | 1645 International Dr, 327, Mc Lean, VA 22102-4816 | 2010-04-13 |
| 1962732289 | Mona Ezzat Abuhamda | Psychologist | 6842 Elm St Ste 103, Mc Lean, VA 22101 | 2010-01-08 |
| 1457418519 | Maia Selena Deubert | Psychologist | 1489 Chain Bridge Rd, Suite 203, Mc Lean, VA 22101-5724 | 2007-01-01 |
| 1881750230 | Kathleen Merrily Salyer | Psychologist | 6842 Elm St, Ste 207, Mc Lean, VA 22101-3855 | 2006-12-29 |
| 1760598312 | Jill Parks Weber | Psychologist | 7927 Jones Branch Dr, Suite: 6125, Mc Lean, VA 22102-3322 | 2006-08-23 |
| 1295378768 | Elizabeth Jordan Daly | Psychologist | 6801 Whittier Ave Ste 300, Mc Lean, VA 22101-4549 | 2019-10-28 |
| 1548814619 | Stacey Lynn Dershewitz | Psychologist | 1483 Chain Bridge Rd Ste 301, Mc Lean, VA 22101-5703 | 2019-07-27 |
| Find all providers in MC LEAN | ||||
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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.