MELISSA NICOLE WOMBLE


Address: 8501 Arlington Blvd, Fairfax, VA 22031-4617
Phone: 7039706458

MELISSA NICOLE WOMBLE (NPI# 1548715154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548715154
Entity Type Individual
Full Name MELISSA NICOLE WOMBLE
Credential PHD
Practice Address 8501 Arlington Blvd
Fairfax
VA 22031-4617
Practice Telephone 7039706458
Practice Fax Number 7039706465
Mailing Telephone 7039706458
Mailing Fax Number 7039706465
Enumeration Date 2016-08-24
Last Update Date 2020-10-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist 0810005316 VA Behavioral Health & Social Service Providers

Office Location

Street Address 8501 ARLINGTON BLVD
City FAIRFAX
State VA
Zip Code 22031-4617

Providers in the same location

NPI Name Taxonomy Address Enumeration
1043211006 Medical Oncology and Hematology Assoc of Northern Virginia Internal Medicine 8501 Arlington Blvd, Suite 340, Fairfax, VA 22031-4617 2005-08-02
1215573860 Emilie Ann Smith Obstetrics & Gynecology 8501 Arlington Blvd, Suite 500, Fairfax, VA 22031-4631 2019-11-19
1164974325 Rebecca M Hindman Advanced Practice Midwife 8501 Arlington Blvd, Suite 300, Fairfax, VA 22031-4617 2016-11-03
1235581935 Meghan Martin Nurse Practitioner 8501 Arlington Blvd, Suite #330, Fairfax, VA 22031-4617 2016-07-06
1164887352 Esther Chou Specialist/Technologist 8501 Arlington Blvd, Ste. 200, Fairfax, VA 22031-4617 2015-12-15
1336558592 Kimberly Kelshian Occupational Therapist 8501 Arlington Blvd, Suite 400, Fairfax, VA 22031-4617 2014-08-12
1821402959 Samantha M Skeen Physician Assistant 8501 Arlington Blvd, Suite 330, Fairfax, VA 22031-4617 2014-06-17
1649697848 Jennifer Truax Nurse Practitioner 8501 Arlington Blvd, #300, Fairfax, VA 22031-4617 2014-03-25
1790108744 Brett Gustman Specialist/Technologist 8501 Arlington Blvd, Suite #200, Fairfax, VA 22031-4617 2014-01-28
1235560210 Amanda Langford Physical Therapist 8501 Arlington Blvd, Suite 403, Fairfax, VA 22031-4617 2013-12-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1902414105 Su Jung Kang Dentist 9661-c Main Street, Fairfax, VA 22031 2020-07-14
1346896347 Fuling Guo Acupuncturist 3013 James St, Fairfax, VA 22031 2019-08-15
1902458797 Kayla Callister Psychologist 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 2019-07-11
1790349801 Fairfax Dental Esthetics Dentist 9621 Fairfax Blvd., Fairfax, VA 22031 2019-04-24
1417427675 Kathryn Yen Ho Speech-Language Pathologist 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 2018-11-30
1932681376 Joanne Towers Physician Assistant 3025 Hamaker Court Suite 300, Fairfax, VA 22031 2018-09-01
1790262020 S Renee Dennis Nurse Practitioner 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 2018-07-19
1013493451 Elizabeth Joan Dwyer Physician Assistant 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 2018-07-18
1316432669 Delta Pharm LLC Pharmacy 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 2018-06-28
1629567656 Laura Breeden Acupuncturist 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 2018-05-04
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
1447746383 Hilary Caroline Goetz Clinical Neuropsychologist 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 2018-07-03
1003330408 Cognitive Consults and Technology LLC Clinical Neuropsychologist 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 2017-07-28
1730525205 Applied Neuropsychological Services, P.C. Clinical Neuropsychologist 11130 Fairfax Blvd. Suite 200, Fairfax, VA 22030-5017 2013-05-10
1194804914 Barry B Ekdom Phd Clinical Neuropsychologist 3040 Williams Dr, Suite 402, Fairfax, VA 22031-4618 2006-11-03
1801903000 Cynthia Luck Sullivan Clinical Neuropsychologist 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 2006-08-24
1922651454 Joanna Luzzi Clinical Neuropsychologist 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 2019-07-23
1518259985 Neuropsychology Associates of Fairfax Clinical Neuropsychologist 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 2011-05-04
1598085722 Applied Neuropsychological Services PC Clinical Neuropsychologist 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0985 2010-06-10
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Competitor

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City FAIRFAX
Zip Code 22031

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Dataset Information

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.

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