PATRICIA MICHELLE MULLALEY (NPI# 1518187426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518187426 |
| Entity Type | Individual |
| Full Name | PATRICIA MICHELLE MULLALEY |
| Credential | PH.D. |
| Practice Address |
3959 Pender Dr #320 Fairfax VA 22030-6041 |
| Practice Telephone | 7033523822 |
| Mailing Telephone | 7033523822 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 103T00000X | Psychologist | 0810003557 | VA | Behavioral Health & Social Service Providers |
| X | 103TC0700X |
Psychologist Specialization: Clinical |
0810003557 | VA | Behavioral Health & Social Service Providers |
| X | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0810003557 | VA | Behavioral Health & Social Service Providers |
| X | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
0810003557 | VA | Behavioral Health & Social Service Providers |
| Street Address |
3959 PENDER DR #320 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588610679 | Meier Clinics Foundation | Social Worker | 3959 Pender Dr, Suite 305, Fairfax, VA 22030-6041 | 2006-05-26 |
| 1669860706 | Anne Knabel | Counselor | 3959 Pender Dr, Suite 305, Fairfax, VA 22030-6041 | 2014-12-23 |
| 1790071694 | Samuel Huisok Yun | Ophthalmology | 3959 Pender Dr, Ste 260, Fairfax, VA 22030-6041 | 2011-06-20 |
| 1053601450 | Learning Alliance, LLC | Community/Behavioral Health | 3959 Pender Dr, Fairfax, VA 22030-6041 | 2011-04-19 |
| 1922322106 | Jennifer Wright | Social Worker | 3959 Pender Dr, Ste. 109, Fairfax, VA 22030-6041 | 2010-03-17 |
| 1306024914 | The Child & Family Counseling Group, Plc | Counselor | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2008-02-06 |
| 1992900799 | Sarah Elizabeth Hardy | Psychologist | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-06-20 |
| 1972704575 | Karen N Wires | Speech-Language Pathologist | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-05-30 |
| 1811109663 | Laura Denham Robbins | Social Worker | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-05-04 |
| 1831301084 | Maureen Gallagher | Social Worker | 3959 Pender Dr, Suite 320, Fairfax, VA 22030-6041 | 2007-05-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
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| 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 |
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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.