DR. LORENCY FERNANDO (NPI# 1740332519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740332519 |
| Entity Type | Individual |
| Full Name | DR. LORENCY FERNANDO |
| Credential | M.D. |
| Practice Address |
11204 Waples Mill Rd Fairfax VA 22030-6048 |
| Practice Telephone | 7032188500 |
| Practice Fax Number | 7033590469 |
| Mailing Telephone | 7032188500 |
| Mailing Fax Number | 7033590463 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101239771 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
11204 WAPLES MILL RD |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-6048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770684367 | John Thomas Giroux | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6048 | 2006-09-26 |
| 1265909097 | Jung Soo Lim | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2018-10-30 |
| 1952819492 | Alissa Wulff | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2018-01-18 |
| 1457880684 | Clinton Lee Brogdon | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2017-06-10 |
| 1245685783 | Michelle Hendrickson | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2016-05-03 |
| 1295126118 | Molly A Jakubek | Marriage & Family Therapist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2015-02-13 |
| 1598161119 | Alexandra T Heard | Social Worker | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2014-11-10 |
| 1497185805 | Tisa Mckenna | Social Worker | 11204 Waples Mill Rd, Fairfax, VA 22030 | 2013-11-21 |
| 1841635653 | Kristen Messenger | Counselor | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2013-05-07 |
| 1285970087 | Catherine A Rathman | Psychologist | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2012-12-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114007077 | Elizabeth Maier Reynolds | Psychiatry & Neurology | 12801 Hamlet Hill Way, Fairfax, VA 22030-7250 | 2006-10-16 |
| 1083959373 | Ravinderpal Singh | Psychiatry & Neurology | 11204 Waples Mill Rd, Fairfax, VA 22030-6036 | 2012-11-28 |
| 1750641668 | Vikas Mangewala | Psychiatry & Neurology | 3930 Pender Dr Ste 350, Fairfax, VA 22030-0989 | 2012-05-24 |
| 1740343672 | Peter Howard Robbins | Psychiatry & Neurology | 3959 Pender Dr, #320, Fairfax, VA 22030-6041 | 2006-12-19 |
| 1780773754 | Elizabeth Lathrop Finch | Psychiatry & Neurology | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2006-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
| 1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
| 1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
| 1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
| 1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
| 1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
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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.