PHOENIX HEALTHCARE OF VIRGINIA LLC (NPI# 1720472244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720472244 |
| Entity Type | Organization |
| Organization Name | PHOENIX HEALTHCARE OF VIRGINIA LLC |
| Practice Address |
904 Princess Anne St Suite 301 Fredericksburg VA 22401-5801 |
| Practice Telephone | 5408988812 |
| Mailing Telephone | 5408988812 |
| Enumeration Date | 2015-03-23 |
| Last Update Date | 2015-03-23 |
| Authorized Official Name | MRS. SONDRA HARRY (OWNER) |
| Authorized Official Telephone | 5408988812 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810003951 | VA | Behavioral Health & Social Service Providers |
| Street Address |
904 PRINCESS ANNE ST SUITE 301 |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-5801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689765653 | Dianne Oakey Bachman | Social Worker | 904 Princess Anne St, Ste 306, Fredericksburg, VA 22401-5801 | 2006-09-27 |
| 1760880918 | Insight Services of Virginia, LLC | Counselor | 904 Princess Anne St, Suite C-2, Fredericksburg, VA 22401-5801 | 2014-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| 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 |
|---|---|---|---|---|
| 1902200389 | Nicole Surething | Psychologist | 2217 Princess Anne St Ste 328, Fredericksburg, VA 22401 | 2014-10-14 |
| 1801173570 | Amy Teresa Wolf | Psychologist | 705 N Milam St, Fredericksburg, TX 78624-3339 | 2011-11-09 |
| 1447558473 | Larissa K Ruuskanen | Psychologist | 2217 Princess Anne St Ste 325, Fredericksburg, VA 22401-3358 | 2011-02-28 |
| 1841597507 | Dusti Jo Sisk-fandrich | Psychologist | 607 Jefferson Davis Hwy Ste 201, Fredericksburg, VA 22401-8406 | 2011-02-16 |
| 1437170305 | Alexander Bory | Psychologist | 1119 Caroline St, Fredericksburg, VA 22401-3815 | 2006-07-23 |
| 1992735971 | Roger James Pasternak | Psychologist | 412 Chatham Square Office Park, Fredericksburg, VA 22405-2561 | 2006-07-04 |
| 1295762805 | Roy William Jarnecke | Psychologist | 312 Progress St, Suite 200, Fredericksburg, VA 22401-3356 | 2006-06-27 |
| 1952360109 | Frank D. Deforest | Psychologist | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2006-03-17 |
| 1073077368 | Larissa K. Ruuskanen, Psy.d., LLC | Psychologist | 2217 Princess Anne St Ste 325, Fredericksburg, VA 22401-3358 | 2019-01-30 |
| 1457556094 | Eric H Swift | Psychologist | 1119 Caroline St, Fredericksburg, VA 22401-3815 | 2007-06-15 |
| Find all providers in FREDERICKSBURG | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
Please comment or provide details below to improve the information on PHOENIX HEALTHCARE OF VIRGINIA LLC.
| 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.