SAMANTHA ALYSE SHLAKMAN (NPI# 1609001072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609001072 |
| Entity Type | Individual |
| Full Name | SAMANTHA ALYSE SHLAKMAN |
| Credential | MD |
| Practice Address |
501 Church St Ne Suite 217 Vienna VA 22180-4734 |
| Mailing Address |
1350 Connecticut Ave Nw Ste 1225 Washington DC 20036-1718 |
| Practice Telephone | 2024217408 |
| Mailing Telephone | 2024217408 |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2013-01-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101248565 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD037466 | DC | Allopathic & Osteopathic Physicians |
| Street Address |
501 CHURCH ST NE SUITE 217 |
| City | VIENNA |
| State | VA |
| Zip Code | 22180-4734 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487674065 | Susan Branco-rodriguez | Counselor | 501 Church St Ne, Vienna, VA 22180-4734 | 2006-07-19 |
| 1750825337 | Grace Elizabeth Gray | Social Worker | 501 Church St Ne, Suite 207, Vienna, VA 22180-4734 | 2016-12-15 |
| 1205171535 | Yoon Shin | Physical Therapist | 501 Church St Ne, Ste 105, Vienna, VA 22180-4734 | 2012-11-27 |
| 1073864005 | Timothy George Zelch | Physical Therapist | 501 Church St Ne, Ste 105, Vienna, VA 22180-4734 | 2012-10-01 |
| 1427317866 | Kimberly S Harrell | Counselor | 501 Church St Ne, Ste. 209, Vienna, VA 22180-4734 | 2012-05-04 |
| 1285955021 | Elaine P. Boomer PC | Social Worker | 501 Church St Ne, Suite 206, Vienna, VA 22180-4734 | 2010-06-16 |
| 1003085457 | Taylor A Waters | Physical Therapist | 501 Church St Ne, Ste 105, Vienna, VA 22180-4734 | 2008-02-29 |
| 1104969864 | Lois Greenberg Hartman | Counselor | 501 Church St Ne, Suite 209, Vienna, VA 22180-4734 | 2007-02-14 |
| 1861544355 | Marianne G.m. Heilferty | Social Worker | 501 Church St Ne, Suite 206, Vienna, VA 22180-4734 | 2007-01-17 |
| 1306905344 | Virginia Maria Huici | Counselor | 501 Church St Ne, Suite # 206, Vienna, VA 22180-4734 | 2006-12-06 |
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|---|---|---|---|---|
| 1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
| 1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
| 1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
| 1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
| 1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
| 1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
| 1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
| 1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
| 1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
| 1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295175289 | Robyn Stein | Psychiatry & Neurology | 1782 Brentridge St, Vienna, VA 22182-2577 | 2013-07-05 |
| 1588802581 | Dc Metro Psychiatry, Pllc | Psychiatry & Neurology | 8000 Towers Crescent Drive Suite 1350, Vienna, VA 22182 | 2009-01-28 |
| 1437313988 | Nesly Ivonne Hneich | Psychiatry & Neurology | 8000 Towers Crescent Drive, Suite 1350, Vienna, VA 22182 | 2008-07-14 |
| 1710030150 | Julian T Brantley | Psychiatry & Neurology | 2110-d Gallows Road, Vienna, VA 22182-3962 | 2007-01-19 |
| 1568525038 | Irfan Saeed | Psychiatry & Neurology | 9638 Maymont Dr, Vienna, VA 22182-3010 | 2006-12-18 |
| 1568550978 | Valerie Josephine Buyse | Psychiatry & Neurology | 2110 Gallows Rd Ste D, Vienna, VA 22182-3962 | 2006-10-11 |
| 1013028125 | Jose Lonappan Alappatt | Psychiatry & Neurology | 5315 Warren Sharon Rd, Vienna, OH 44473 | 2006-08-31 |
| 1124135942 | Carlos M Hecker | Psychiatry & Neurology | 9504 Laurlin Ct, Vienna, VA 22182-1457 | 2006-08-25 |
| 1215949193 | Joseph David Mitchell | Psychiatry & Neurology | 2110 Gallows Rd, Suite D, Vienna, VA 22182-3962 | 2006-08-12 |
| 1255972311 | Harish Goyal Md PC, Inc. | Psychiatry & Neurology | 2110 Gallows Rd Ste D, Vienna, VA 22182-3962 | 2019-09-30 |
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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.