DR. VANESSA CARMEN IRIZARRY (NPI# 1821104043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821104043 |
| Entity Type | Individual |
| Full Name | DR. VANESSA CARMEN IRIZARRY |
| Credential | PHD |
| Practice Address |
3340 Woodburn Rd Annandale VA 22003-1202 |
| Mailing Address |
3340 Woodburn Road Annandale VA 22003-1298 |
| Practice Telephone | 7032077782 |
| Mailing Telephone | 7032077782 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810002118 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922271618 | Vanessa A Irizarry | Counselor | 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109-3155 | 2008-04-02 |
| Street Address |
3340 WOODBURN RD |
| City | ANNANDALE |
| State | VA |
| Zip Code | 22003-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558389429 | Kimberly Sue Close-jensen | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2006-07-18 |
| 1366844383 | Joanna Turner | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2014-09-22 |
| 1437578325 | Kimberly Berlin | Registered Nurse | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2014-04-08 |
| 1104169192 | Megghan K Thompson | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2013-03-28 |
| 1306197249 | Lisa D'alessio | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2012-10-01 |
| 1164795571 | Fatma Mohammad Mekki | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2012-02-15 |
| 1639469166 | Corey Thornton | Social Worker | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2011-04-18 |
| 1073841888 | Neva S. Ortuno | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2009-12-07 |
| 1538391701 | Eleanor H Barber | Counselor | 3340 Woodburn Rd, Annandale, VA 22003-1202 | 2009-08-20 |
| 1245461102 | Jacqueline Carroll Armstrong | Counselor | 3340 Woodburn Rd, Woodburn Center, Annandale, VA 22003 | 2009-07-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932741758 | Lien Hong Do | Pharmacist | 4014 Thornton Street, Annandale, VA 22003 | 2019-10-14 |
| 1639655376 | Brian D Blincoe | Military Health Care Provider | 7207 Masonville Drive, Annandale, VA 22003 | 2018-07-16 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1053841668 | Rosalie Zuniga | Social Worker | 6800 Algonquin Court, Annandale, VA 22003 | 2017-06-15 |
| 1386179133 | Adaptive Care LLC | In Home Supportive Care | 4603 Logsdon Drive, Annandale, VA 22003 | 2017-04-28 |
| 1457808933 | Evergreen Foot and Ankle LLC | Podiatrist | 6928 Little River Turnpike, Suite B, Annandale, VA 22003 | 2016-09-01 |
| 1093165672 | Brightview Fairfax, LLC | Alzheimer Center (Dementia Center) | 3450 Gallows Road, Annandale, VA 22003 | 2016-06-15 |
| 1063867844 | Sports Care Acupuncture Clinic, LLC | Acupuncturist | 7535 Little River Tnpk #103a, Annandale, VA 22003 | 2016-04-28 |
| 1578925806 | Nu Dimensions, LLC | Day Training, Developmentally Disabled Services | 3602 Balin Ct, Annandale, VA 22003 | 2016-03-25 |
| 1932505641 | Julia Jiyoung Lee | Acupuncturist | 7535 Little River Tnpk, Suite 103a, Annandale, VA 22003 | 2014-11-06 |
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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 |
|---|---|---|---|---|
| 1639615826 | Chris Loftis | Psychologist | 3514 Launcelot Way, Annandale, VA 22003-1357 | 2017-01-11 |
| 1891085056 | Helen Stephanie Raytek | Psychologist | 415 Cokesbury Road, Annandale, NJ 08801 | 2011-04-08 |
| 1588783146 | Richard Walter Blankenberg | Psychologist | 46 Valley Crest Rd, Annandale, NJ 08801-3104 | 2007-03-28 |
| 1265418339 | Victoria P Width | Psychologist | 67 Beaver Ave, Suite 10, Annandale, NJ 08801-3071 | 2005-12-20 |
| 1831497361 | Steven Johnston | Psychologist | 67 Beaver Ave, Suite 9, Annandale, NJ 08801-3071 | 2011-03-08 |
| 1346438793 | Annandale Square Counseling Center, P.C. | Psychologist | 67 Beaver Ave, Suite 10, Annandale, NJ 08801-3071 | 2007-10-11 |
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| 1912527458 | Roger M Solomon | Psychologist | 4001 9th St N Apt 404, Arlington, VA 22203-1958 | 2020-04-24 |
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| 1740812205 | Ericka N Schmitt | Psychologist | Interchange Psychology, 44075 Pipeline Plaza, Ashburn, VA 20147 | 2020-02-12 |
| 1073145850 | Patricia Martin Professional Corporation | Psychologist | 800 E High St, Charlottesville, VA 22902-5126 | 2020-02-10 |
| 1215583190 | Mandi Eggenberger Quay | Psychologist | 9256 Mosby St Ste 202, Manassas, VA 20110-5078 | 2019-08-15 |
| 1780239616 | Vanessa Lee Buonopane | Psychologist | 11166 Fairfax Blvd Ste 207, Fairfax, VA 22030-5017 | 2019-08-07 |
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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.