DR. MARY ANN KOCH (NPI# 1811000235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811000235 |
| Entity Type | Individual |
| Full Name | DR. MARY ANN KOCH |
| Credential | PH.D. |
| Practice Address |
3635 Manassas Dr Roanoke VA 24018-4031 |
| Mailing Address |
3635 Manassas Drive Roanoke VA 24018-4031 |
| Practice Telephone | 5407744686 |
| Practice Fax Number | 5409898893 |
| Mailing Telephone | 5407744686 |
| Mailing Fax Number | 5409898893 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2012-10-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810001187 | VA | Behavioral Health & Social Service Providers |
| Street Address |
3635 MANASSAS DR |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-4031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326090580 | Louis Anthony Perrott | Psychologist | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-05-16 |
| 1104337468 | Alfred Lloyd Robrecht | Social Worker | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2017-10-13 |
| 1578002101 | Jacob Leonidovich Goldshteyn | Counselor | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2017-02-15 |
| 1992053342 | Anne Wilson Ranson | Counselor | 3635 Manassas Dr, Suite A, Roanoke, VA 24018-4031 | 2012-08-16 |
| 1205139243 | Daniel W. Devilbiss Jr. | Counselor | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2010-12-14 |
| 1023244662 | Christy M Cundiff | Counselor | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2009-06-10 |
| 1750418893 | Carol Smith Stockton | Counselor | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2007-02-27 |
| 1336200542 | Anne Lusbydenham | Counselor | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-12-12 |
| 1538245915 | Gudrun Freeman | Counselor | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-10-28 |
| 1134204787 | Hildy G. Getz | Counselor | 3635 Manassas Dr, Roanoke, VA 24018-4031 | 2006-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
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| 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 |
|---|---|---|---|---|
| 1316245632 | Northeast Psychological Associates, LLC | Psychologist | 578 Geiger Dr, Suite A-1, Roanoke, IN 46783-8872 | 2011-03-10 |
| 1326285743 | Jennifer King Blackledge | Psychologist | 209 Travis St, Ste 105, Roanoke, TX 76262-8661 | 2009-01-08 |
| 1770733677 | Yoon Kyung Jung | Psychologist | 3635 Manassas Dr # A, Roanoke, VA 24018-4031 | 2008-09-26 |
| 1427085505 | Edgar M. Kyle | Psychologist | 5124 Falcon Ridge Rd, Roanoke, VA 24018-8621 | 2006-06-26 |
| 1134534365 | Abhishek Reddy | Psychologist | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2014-06-26 |
| 1609159821 | Karen E Stewart | Psychologist | 3 Riverside Cir, Roanoke, VA 24016-4955 | 2011-09-23 |
| 1952631483 | Robert Stanley Mcnamara | Psychologist | 2017 Jefferson St Sw, Roanoke, VA 24014-2419 | 2010-01-06 |
| 1801023064 | Stacy Belkonen | Psychologist | 1970 Roanoke Blvd, 116b-1, Roanoke, VA 24019 | 2009-06-15 |
| 1225262678 | Alice Elizabeth Sydnor | Psychologist | 2331 Franklin Rd Sw, Roanoke, VA 24014-1111 | 2009-05-13 |
| 1083832356 | Hollins Communications Research Institute | Psychologist | 7851 Enon Dr, Roanoke, VA 24019-1515 | 2007-04-23 |
| Find all providers in ROANOKE | ||||
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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.