ELISSA GERFEN HAUPTMAN (NPI# 1508381260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508381260 |
| Entity Type | Individual |
| Full Name | ELISSA GERFEN HAUPTMAN |
| Other Name | MARTHA ELIZABETH GERFEN |
| Credential | DNP, APRN, PMHNP-BC |
| Practice Address |
4600 Fairfax Dr Ste 412 Arlington VA 22203 |
| Mailing Address |
4600 Fairfax Dr Ste 412 Arlington VA 22203-1560 |
| Practice Telephone | 7038124642 |
| Mailing Telephone | 7038124642 |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AC002370 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0024175088 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4520 E West Hwy Ste 775, Bethesda, MD 208143319 | 2405312799 | |
| 801 N Quincy St Ste 620, Arlington, VA 222031999 | 7038124642 | |
| 2960 Sleepy Hollow Rd, Falls Church, VA 220442030 | 7038124642 |
| Street Address |
4600 FAIRFAX DR STE 412 |
| City | ARLINGTON |
| State | VA |
| Zip Code | 22203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144464652 | Natalie Brooks | Counselor | 4600 Fairfax Dr Ste 412, Arlington, VA 22203-1553 | 2009-04-28 |
| 1003456880 | Courteney Strickland Vii | Counselor | 4600 Fairfax Dr Ste 412, Arlington, VA 22203-1553 | 2020-01-09 |
| 1285290734 | Jonathan Kepner Fricke | Nurse Practitioner | 4600 Fairfax Dr Ste 412, Arlington, VA 22203-1560 | 2019-05-09 |
| 1518450345 | Veronica Craig Doran | Psychiatry & Neurology | 4600 Fairfax Dr Ste 412, Arlington, VA 22203-1560 | 2018-06-06 |
| 1326467051 | Doan-thu Nguyen | Psychiatry & Neurology | 4600 Fairfax Dr Ste 412, Arlington, VA 22203-1553 | 2014-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053923706 | Yeo Lim Kim | Registered Nurse | 816 N Oakland St, Unit 704, Arlington, VA 22203 | 2020-08-22 |
| 1174016190 | Bilal Rasool Chaudhry | Dentist | 801 N Quincy St Ste 110, Arlington, VA 22203 | 2018-06-13 |
| 1861993479 | Ballston Dental Arts, Pllc | Dentist | 900 N Taylor Street #150, Arlington, VA 22203 | 2018-02-28 |
| 1790293256 | Hawah Yahoh Conteh | Occupational Therapist | 900 North Taylor Street, Arlington, VA 22203 | 2018-01-18 |
| 1992237911 | Annyck Besso | Dietitian, Registered | 4250 Fairfax Dr Ste 600, Arlington, VA 22203 | 2017-03-29 |
| 1093267221 | Wilhelmina Dres | Physical Therapy Assistant | 3821 Wilson Blvd., Arlington, VA 22203 | 2016-11-04 |
| 1063861672 | Gentle Care Dentists | Dentist | 901 N Stuart Street, Suite 101, Arlington, VA 22203 | 2016-06-06 |
| 1235516717 | National Rehabilitation Hospital, Inc. | Physical Therapist | 3833 N. Fairfax Dr., Suite 300, Arlington, VA 22203 | 2015-05-04 |
| 1013313501 | Michelle May | Counselor | 4601 N Fairfax Dr, Suite 1200, Arlington, VA 22203 | 2014-11-10 |
| 1346685567 | Maggie Lyles | Family Medicine | 200 N Glebe Rd Ste 300, Arlington, VA 22203 | 2013-05-01 |
| Find all providers in zip 22203 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
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| 1912524687 | Judi Saini | Nurse Practitioner | 12 Old Colony Ln Apt 9, Arlington, MA 02476-4413 | 2020-06-29 |
| 1396360269 | Restoring Minds Behavioral Services LLC | Nurse Practitioner | 2909 E Arkansas Ln Ste C, Arlington, TX 76010-6930 | 2020-06-16 |
| 1588286793 | Creative Minds Behavioral Health, LLC | Nurse Practitioner | 110 W Randol Mill Rd Ste 200, Arlington, TX 76011-4612 | 2020-05-11 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1194367813 | Agather Onyango | Nurse Practitioner | 725 Sendero Dr, Arlington, TX 76002-5715 | 2019-10-14 |
| 1710535398 | Ebelechukwu Ekwenugo | Nurse Practitioner | 616 Jagera Way, Arlington, TX 76002-4582 | 2019-08-28 |
| 1427514553 | Fast Behavorial Health Corporation | Nurse Practitioner | 1406 Anglican Dr, Arlington, TX 76002-3741 | 2019-02-13 |
| 1184129157 | Perfect Peace Health Consultants Pllc | Nurse Practitioner | 1401 Gilday Dr, Arlington, TX 76002-3734 | 2018-03-29 |
| Find all providers in ARLINGTON | ||||
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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.