IDA SUE BARON, PH.D., P.C. (NPI# 1497972376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497972376 |
| Entity Type | Organization |
| Organization Name | IDA SUE BARON, PH.D., P.C. |
| Practice Address |
1830 Town Center Dr Reston VA 20190-3292 |
| Mailing Address |
10116 Weatherwood Ct Potomac MD 20854-2173 |
| Practice Telephone | 3013402119 |
| Practice Fax Number | 3013402119 |
| Mailing Telephone | 3013402119 |
| Mailing Fax Number | 3013402119 |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. IDA SUE BARON (PRESIDENT) |
| Authorized Official Telephone | 3013402119 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 02300 | MD | Behavioral Health & Social Service Providers |
| Street Address |
1830 TOWN CENTER DR |
| City | RESTON |
| State | VA |
| Zip Code | 20190-3292 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427032564 | Richard L Stokes IIi | Specialist | 1830 Town Center Dr, Suite 207, Reston, VA 20190-3292 | 2005-12-02 |
| 1811351166 | Loudoun Medical Group PC | Urology | 1830 Town Center Dr, Suite 306, Reston, VA 20190-3292 | 2016-04-12 |
| 1306211370 | Urology Center-usa Inc | Specialist | 1830 Town Center Dr, Suite 301, Reston, VA 20190-3292 | 2015-12-02 |
| 1164787065 | Aishah Carol Hassan | Voluntary or Charitable | 1830 Town Center Dr, Reston, VA 20190-3292 | 2012-07-07 |
| 1063739324 | Healthy Heart Sleep Center, LLC | Clinical Medical Laboratory | 1830 Town Center Dr, Suite 405, Reston, VA 20190-3292 | 2010-04-27 |
| 1578729216 | Tae Joon Chung, Md PC | Internal Medicine | 1830 Town Center Dr, Suite 308, Reston, VA 20190-3292 | 2008-08-01 |
| 1316110125 | Richard Lee Cho | Psychiatry & Neurology | 1830 Town Center Dr, Suite 305, Reston, VA 20190-3292 | 2008-04-12 |
| 1730364969 | Rabih Kanan Hamzeh | Specialist | 1830 Town Center Dr, Suite #303, Reston, VA 20190-3292 | 2008-01-07 |
| 1710160205 | M Karim Ali Md Facs PC | Otolaryngology | 1830 Town Center Dr, Suite 209, Reston, VA 20190-3236 | 2007-12-07 |
| 1689855587 | David K Chow, Md, PC | Ophthalmology | 1830 Town Center Dr, Suite 210, Reston, VA 20190-3292 | 2007-11-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558361857 | William Ling | Clinical Neuropsychologist | 1900 Campus Commons Drive, Ste 100, Reston, VA 20191 | 2005-07-28 |
| 1225255102 | Ida Sue Baron | Clinical Neuropsychologist | 1830 Town Center Dr, Reston, VA 20190-3292 | 2007-04-20 |
| 1992875322 | Jorge Rodriguez | Clinical Neuropsychologist | 12359 Sunrise Valley Dr, Suite #220, Reston, VA 20191-3462 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008492 | Nicole N Hashemian | Clinical Neuropsychologist | 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 | 2020-09-18 |
| 1447877527 | Sabrina Kate Jennings | Clinical Neuropsychologist | 8100 Innovation Park Dr, Fairfax, VA 22031-4870 | 2020-07-06 |
| 1831710755 | Reston Precision Neuropsychology LLC | Clinical Neuropsychologist | 441-d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2020-05-01 |
| 1841848504 | Dr Vivian Begali Lcp Facpn Abn Abpp LLC | Clinical Neuropsychologist | 9327 Midlothian Tpke Ste 1c, North Chesterfield, VA 23235-4965 | 2019-08-27 |
| 1528527140 | Natalia Lugina Mauranne | Clinical Neuropsychologist | 441d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2019-03-13 |
| 1518434604 | Jessica Isabel Alva | Clinical Neuropsychologist | 12735 Inverness Way, Woodbridge, VA 22192-5038 | 2018-10-27 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1851801708 | William David Crews Jr. | Clinical Neuropsychologist | 118 Dreaming Creek Dr, Lynchburg, VA 24502-2735 | 2017-10-05 |
| 1306360425 | Nacmed | Clinical Neuropsychologist | 90 Chatham Heights Rd, Fredericksburg, VA 22405-2566 | 2017-07-31 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
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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.