MICHAEL ROBERT DUDIS (NPI# 1710118609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710118609 |
| Entity Type | Individual |
| Full Name | MICHAEL ROBERT DUDIS |
| Credential | PH.D. |
| Practice Address |
1505 King St Alexandria VA 22314-2716 |
| Practice Telephone | 7035201055 |
| Mailing Telephone | 7035201055 |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2017-11-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810003918 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1505 KING ST |
| City | ALEXANDRIA |
| State | VA |
| Zip Code | 22314-2716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437274131 | Patricia Simmons | Social Worker | 1505 King St, Alexandria, VA 22314-2716 | 2007-03-20 |
| 1619375425 | Matthew Shuman Hagan | Social Worker | 1505 King St, Alexandria, VA 22314-2716 | 2014-12-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992359889 | Faustina Darko Sarpong | Registered Nurse | Alexandria Residential Treatment Center, 2355 Mill Rd, Alexandria, VA 22314 | 2019-07-29 |
| 1184276396 | Alyah Ann Gilberry | Behavior Technician | 2801 Duke St, Alexandria, VA 22314 | 2019-07-09 |
| 1194287961 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 915 N Saint Asaph Street, Suite 130, Alexandria, VA 22314 | 2019-04-02 |
| 1508321860 | Turning Point Counseling Services LLC | Social Worker | 500 North Washington St, Alexandria, VA 22314 | 2019-01-31 |
| 1841769981 | Melanie Lynn Froemke | Social Worker | Alexandria Place Therapy, 108a South Columbus St, Alexandria, VA 22314 | 2018-11-19 |
| 1245718394 | Kmt Medical Transport LLC | Non-emergency Medical Transport (VAN) | 1727 King St Ste 300, Alexandria, VA 22314 | 2018-07-31 |
| 1730678632 | Jacquelyn Clarissa Lusk | Social Worker | 1340 Braddock Place, Alexandria, VA 22314 | 2018-05-07 |
| 1083142160 | Kings Medical Transportation Incorported | Non-emergency Medical Transport (VAN) | 1727 King Strreet, Suite 300, Alexandria, VA 22314 | 2017-06-01 |
| 1114478930 | Tanne B Gabler | Social Worker | 719 S. Fayette St, Alexandria, VA 22314 | 2016-10-17 |
| 1902359409 | Emily Chow | Dentist | 1725 Duke St, Suite Gr03, Alexandria, VA 22314 | 2016-08-01 |
| Find all providers in zip 22314 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| 1831722313 | Alexandria Therapy, LLC | Psychologist | 2210 Mount Vernon Ave Ste 204, Alexandria, VA 22301-1361 | 2020-02-12 |
| 1982236709 | Pivotal Psych Consultants | Psychologist | 500 N Washington St Ste 205, Alexandria, VA 22314-2314 | 2020-02-10 |
| 1992337273 | Jessica Mae Desalu | Psychologist | 205 S Whiting St Ste 312, Alexandria, VA 22304-3632 | 2020-02-05 |
| 1760948095 | Daniela Sosa-sarkar | Psychologist | 5500 Holmes Run Pkwy Ste C4, Alexandria, VA 22304-2860 | 2019-02-12 |
| 1326504739 | Sadie Doll | Psychologist | 5615k Jackson St, Alexandria, LA 71303-2592 | 2019-02-11 |
| 1972070894 | Ansari and Associates, LLC | Psychologist | 901 N Washington St Ste 601, Alexandria, VA 22314-1535 | 2018-10-29 |
| 1679040851 | Kathryn Ziemer | Psychologist | 1202 Prince St, Alexandria, VA 22314-2936 | 2018-10-25 |
| 1699259812 | Travis Drake Flower | Psychologist | 3412 Tennessee Dr, Alexandria, VA 22303-1225 | 2018-09-24 |
| 1720572076 | Michele Klopner | Psychologist | 3602 Forest Dr, Alexandria, VA 22302-1091 | 2018-06-20 |
| Find all providers in ALEXANDRIA | ||||
| City | ALEXANDRIA |
| Zip Code | 22314 |
Please comment or provide details below to improve the information on MICHAEL ROBERT DUDIS.
| 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.