GARY D. COBB, PH.D., P.C. (NPI# 1780007450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780007450 |
| Entity Type | Organization |
| Organization Name | GARY D. COBB, PH.D., P.C. |
| Practice Address |
4001 Fair Ridge Dr Suite 305 Fairfax VA 22033-2917 |
| Practice Telephone | 7038834774 |
| Practice Fax Number | 7032181824 |
| Mailing Telephone | 7038834774 |
| Mailing Fax Number | 7032181824 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Authorized Official Name | DR. GARY D. COBB (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 7038834774 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810001673 | VA | Behavioral Health & Social Service Providers |
| Street Address |
4001 FAIR RIDGE DR SUITE 305 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-2917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326040569 | Catherine M Pipan | Family Medicine | 4001 Fair Ridge Dr, Suite 101, Fairfax, VA 22033-2917 | 2005-06-01 |
| 1093260630 | Brooke Leigh Johnson | Physical Therapist | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2016-08-24 |
| 1275985970 | Spine and Pain Clinic of North America, LLC | Pain Medicine | 4001 Fair Ridge Dr, Suite 202, Fairfax, VA 22033-2917 | 2016-07-06 |
| 1538554670 | Caitlin Day | Physical Therapist | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2015-04-06 |
| 1902229115 | Linda Coffey | Registered Nurse | 4001 Fair Ridge Dr, Fairfax, VA 22033-2917 | 2014-01-23 |
| 1619309390 | Pamela Heise | Physical Therapist | 4001 Fair Ridge Dr, Ste 101, Fairfax, VA 22033-2917 | 2013-08-05 |
| 1245593029 | Kathryn Elizabeth Canyon | Physical Therapy Assistant | 4001 Fair Ridge Dr, Suite 203, Fairfax, VA 22033-2917 | 2012-06-18 |
| 1346514007 | Maternal Fetal Medicine Associates of Northern Virginia | Obstetrics & Gynecology | 4001 Fair Ridge Dr, Suite 304, Fairfax, VA 22033-2917 | 2012-02-28 |
| 1427339274 | Sally A Mcfarland Md, PC | Internal Medicine | 4001 Fair Ridge Dr, Suite 303, Fairfax, VA 22033-2917 | 2011-09-07 |
| 1093024820 | Julia C. Stone, Lmft, PC | Community/Behavioral Health | 4001 Fair Ridge Dr, Suite 302, Fairfax, VA 22033-2917 | 2010-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699232173 | Alexis Melville | Psychologist | 4094 Majestic Ln Unit 315, Fairfax, VA 22033-2104 | 2019-02-21 |
| 1558867333 | Kyoung Deok Baik | Psychologist | 3554 Chain Bridge Rd Ste 103, Fairfax, VA 22030-2709 | 2018-04-02 |
| 1265849822 | Shushan Campbell | Psychologist | 10521 Rosehaven St Ste 100, Fairfax, VA 22030-2877 | 2014-07-16 |
| 1679994867 | Claire Bartick | Psychologist | 9707 Commonwealth Blvd, Fairfax, VA 22032-2824 | 2013-12-15 |
| 1972933364 | Kim Havenner | Psychologist | 10805 Main St Ste 500, Fairfax, VA 22030-4747 | 2013-11-21 |
| 1912348343 | Tanisha S Bracey | Psychologist | 5403 Cabot Ridge Ct, Fairfax, VA 22032-3214 | 2013-07-15 |
| 1477833168 | Leslie Ann Hawkins | Psychologist | 9840 Main St Ste 201, Fairfax, VA 22031-3909 | 2011-08-25 |
| 1982998910 | Barbara G Smith | Psychologist | 11216 Waples Mill Road, Suite 104, Fairfax, VA 22030 | 2011-06-07 |
| 1184918401 | Martina Pavlicek | Psychologist | 11130 Fairfax Blvd Ste 305, Fairfax, VA 22030-5035 | 2011-06-03 |
| 1821303264 | Lianna R Bennett | Psychologist | 3607 Chain Bridge Rd, Ste A, Fairfax, VA 22030-3242 | 2010-08-10 |
| Find all providers in FAIRFAX | ||||
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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.