DR. CAITLIN CARNELL (NPI# 1720465289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720465289 |
| Entity Type | Individual |
| Full Name | DR. CAITLIN CARNELL |
| Credential | M.D. |
| Practice Address |
100 Emancipation Dr Hampton VA 23667-5051 |
| Mailing Address |
100 Emancipation Dr Hampton VA 23667-0001 |
| Practice Telephone | 7577229961 |
| Mailing Telephone | 7577229961 |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2019-06-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101261330 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1250 E Marshall St, Box 980710, Richmond, VA 232985051 | 8048289452 | 8048289282 |
| Street Address |
100 EMANCIPATION DR |
| City | HAMPTON |
| State | VA |
| Zip Code | 23667-5051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518916 | Therese P Montoya | Physical Medicine & Rehabilitation | 100 Emancipation Dr, Hampton, VA 23667 | 2005-06-16 |
| 1285241570 | Larry N. Wootten | Psychologist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-09-30 |
| 1487266631 | Jason Jemale Hall | Counselor | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-08-19 |
| 1790395085 | Caitlyn Moody | Pharmacist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-08-03 |
| 1639788268 | Shan S. Wong | Psychologist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-07-29 |
| 1205454352 | Charity Seitz | Psychologist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-07-06 |
| 1629694617 | Michael William Olsavicky | Pharmacist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-06-25 |
| 1659997914 | John David Kauffman | Pharmacist | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-06-23 |
| 1790301406 | Lineisha Williams | Social Worker | 100 Emancipation Dr, Hampton, VA 23667-0001 | 2020-06-18 |
| 1215557335 | Katy Hughes Fedorko | Physician Assistant | 100 Emancipation Dr, Hampton, VA 23667-2906 | 2020-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124447388 | Brian Pho Bui | Psychiatry & Neurology | Hampton Veterans Affairs 100 Emancipation Dr, Hampton, VA 23667 | 2014-04-15 |
| 1275786741 | Melissa Ann Palka | Nurse Practitioner | Hampton Va Medical Center, 100 Emancipation Dr., Hampton, VA 23667 | 2008-10-28 |
| 1639107741 | Lawrence Monroe Brown Jr. | Social Worker | Hampton Vamc, 100 Emancipation Dr, Hampton, VA 23667 | 2006-06-29 |
| 1578528030 | Harold Steven Smuckler | Family Medicine | Department of Veterans Affairs, Primary Care, 100 Emancipation Lane, Hampton, VA 23667 | 2006-04-19 |
| 1013978451 | Donald Epstein | Psychologist | 1000 Emancipation Drive, Hampton, VA 23667 | 2006-03-28 |
| 1225098593 | Maryanne Schaeffer | Dietitian, Registered | 100 Emancipation Drive, Hampton, VA 23667 | 2006-03-23 |
| 1376074773 | Linda Carol Whitfield | Case Manager/Care Coordinator | 100 Emancipation Drive, Hampton, VA 23667 | 2017-03-27 |
| 1316217516 | Wallace Danny Johnson IIi | Occupational Therapist | 100 Emancipation Drive, Hampton, VA 23667 | 2012-01-04 |
| 1386929164 | Amber Mizuki | Dietitian, Registered | 100 Emancipation Drive, Bldg 116, Hampton, VA 23667 | 2011-10-12 |
| 1447549266 | Irene Nanghui Yi | Pharmacist | 100 Emancipation Dr., Hampton Vamc, Hampton, VA 23667 | 2011-04-01 |
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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 |
|---|---|---|---|---|
| 1407460413 | Demetrous Johnston | Psychiatry & Neurology | 2 Eaton St # 909, Hampton, VA 23669-4054 | 2020-09-07 |
| 1124447388 | Brian Pho Bui | Psychiatry & Neurology | Hampton Veterans Affairs 100 Emancipation Dr, Hampton, VA 23667 | 2014-04-15 |
| 1811217615 | Andrea Mechelle Brownridge | Psychiatry & Neurology | 14244 Woolsey Rd, Hampton, GA 30228-2251 | 2010-06-03 |
| 1912110495 | Ajay S Kuchibhatla | Psychiatry & Neurology | 400 Medical Dr Ste B, Hampton, VA 23666-1767 | 2007-05-08 |
| 1467465138 | Roopam Sood-khandpur | Psychiatry & Neurology | 2236 Todds Ln, Suite A, Hampton, VA 23666-3160 | 2006-08-14 |
| 1225066418 | Kenneth Joseph Miller | Psychiatry & Neurology | 32 Bay Front Pl, Hampton, VA 23664-1791 | 2006-06-28 |
| 1770550451 | Faisal Mohsin | Psychiatry & Neurology | 200 Medical Dr Ste B, Hampton, VA 23666-1763 | 2006-03-02 |
| 1235100900 | Ian Jonathan Chapel | Psychiatry & Neurology | 200 Medical Dr, Suite B, Hampton, VA 23666-1763 | 2006-01-30 |
| 1902884901 | Michael Jefferies | Psychiatry & Neurology | 112 Pine Creek Dr, Hampton, VA 23669-1244 | 2006-01-09 |
| 1659365989 | Shaista Ashai | Psychiatry & Neurology | 2244 Executive Dr, Hampton, VA 23666-2430 | 2005-09-01 |
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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.