JACQUELINE BULLOCK (NPI# 1720581978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720581978 |
| Entity Type | Individual |
| Full Name | JACQUELINE BULLOCK |
| Practice Address |
13900 Hull Street Rd Midlothian VA 23112-2004 |
| Practice Telephone | 8046398788 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
0813000924 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568908911 | Jacqueline Bullock | Counselor | 9442 International Blvd, Oakland, CA 94603-1444 | 2017-01-10 |
| Street Address |
13900 HULL STREET RD |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23112-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477590669 | Patricia Ann Baggett | Speech-Language Pathologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2006-05-31 |
| 1235743709 | Virginia A Banda Garcia | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2020-09-02 |
| 1356954143 | Cutina Evans | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2020-08-31 |
| 1003429143 | Hayley Wenner | Speech-Language Pathologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2020-08-28 |
| 1295348332 | Alyssa Hazlegrove | Speech-Language Pathologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2020-08-28 |
| 1730723602 | Anne Edwards Smith | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-11-04 |
| 1982248142 | Emily Kinkead | Speech-Language Pathologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-10-31 |
| 1720622293 | Laura Wojdyla | Occupational Therapist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-10-29 |
| 1780227249 | Virginia Eacho | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-10-28 |
| 1073155487 | Molly Midkiff | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982170080 | Shonmarra Ylexus Glover | Behavior Technician | 5950 Harbour Lane, Midlothian, VA 23112 | 2018-10-17 |
| 1841778917 | Brett Stires | Behavior Technician | 5950 Harbourt Park Dr, Midlothian, VA 23112 | 2018-08-01 |
| 1538655899 | Surbhi Chandna | Dentist | 5921 Harbour Ln Ste 500, Midlothian, VA 23112 | 2018-07-10 |
| 1184121584 | Katie Marie Kashmer | Behavioral Analyst | 5950 Barbour Park Lane, Midlothian, WA 23112 | 2018-04-11 |
| 1497259832 | Ruth Lynn Kitchens | Occupational Therapist | 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-21 |
| 1487157301 | Susan Stoodt Price | Occupational Therapist | Chesterfield Technical Center Hull, 13900 Hull Street Rd., Midlothian, VA 23112 | 2018-03-16 |
| 1922500495 | Rayna Veney Piper | Speech-Language Pathologist | 13900 Hull Street Road, Midlothian, VA 23112 | 2018-03-01 |
| 1891202883 | Rochelle Wallace | Behavioral Analyst | 5950 Harbourt Park Dr., Midlothian, VA 23112 | 2017-12-29 |
| 1184138448 | Virginia Medical & Therapeutic Services | Counselor | 13540 E Boundary Rd, Midlothian, VA 23112 | 2017-11-24 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| Find all providers in zip 23112 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356855902 | Katreen Sidhom-yarborough | Psychologist | 2201 Thorncrag Ln, Midlothian, VA 23112-4561 | 2017-11-18 |
| 1700307592 | Taylor Christine Templin-viele | Psychologist | 507 Glenpark Ln, Midlothian, VA 23114-3068 | 2017-06-30 |
| 1235743709 | Virginia A Banda Garcia | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2020-09-02 |
| 1356954143 | Cutina Evans | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2020-08-31 |
| 1730723602 | Anne Edwards Smith | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-11-04 |
| 1780227249 | Virginia Eacho | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-10-28 |
| 1073155487 | Molly Midkiff | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-10-17 |
| 1013558543 | Andra Less | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-10-07 |
| 1528618816 | Shana Little | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-09-18 |
| 1558828202 | Laura Laura Early | Psychologist | 13900 Hull Street Rd, Midlothian, VA 23112-2004 | 2019-02-28 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23112 |
Please comment or provide details below to improve the information on JACQUELINE BULLOCK.
| 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.