KATIE SINCLAIR KELLY (NPI# 1851812226) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851812226 |
| Entity Type | Individual |
| Full Name | KATIE SINCLAIR KELLY |
| Credential | PSY.D. |
| Practice Address |
1360 Beverly Rd Ste 200 Mc Lean VA 22101-3647 |
| Mailing Address |
918 Spring Knoll Dr Herndon VA 20170-3924 |
| Practice Telephone | 7038318300 |
| Mailing Telephone | 7033077893 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810005728 | VA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093797060 | Katie R. Kelly | Social Worker | Willow Creek Wellness LLC, 422 E Vermijo Ste. 208, Colorado Springs, CO 80903-3778 | 2005-11-16 |
| 1972024909 | Katie Kelly | Occupational Therapist | 162 E Broadway, Monticello, NY 12701 | 2017-06-29 |
| 1194185553 | Katie Kelly | Counselor | 2435 6th Ave, Troy, NY 12180-2227 | 2016-02-29 |
| 1053744284 | Katie Kelly | Case Manager/Care Coordinator | 85 Mechanic St, Suite 360, Lebanon, NH 03766-1537 | 2013-08-12 |
| 1770776551 | Katie Kelly | Social Worker | 370 9th St, Crescent City, CA 95531-3432 | 2007-08-24 |
| 1467670273 | Katie Blair Kelly | Physical Therapist | 10777 Nall Ave, Overland Park, KS 66211-1231 | 2007-04-24 |
| 1154470474 | Katie Elizabeth Kelly | Counselor | 27 Hollis St, Framingham, MA 01702-8615 | 2007-01-09 |
| Street Address |
1360 BEVERLY RD STE 200 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22101-3647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528116928 | Tracey Karen Lee | Counselor | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2007-01-08 |
| 1487251013 | Luanne Griffin | Student in an Organized Health Care Education/Training Program | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-10-06 |
| 1043817943 | Kathleen Walsh Matay | Student in an Organized Health Care Education/Training Program | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-10-04 |
| 1417554346 | Daniel Hyo-jin Pyon | Student in an Organized Health Care Education/Training Program | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-10-04 |
| 1417569302 | Kathryn Beirne | Counselor | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-08-20 |
| 1053921866 | Stephanie Colgan Chalk | Counselor | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-08-06 |
| 1861016230 | Carter Grace Bagnall | Counselor | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-06-02 |
| 1407477607 | Valeska Cousins | Counselor | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-04-29 |
| 1164042933 | Huiyan Feng | Counselor | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-04-22 |
| 1447879218 | Hope Arezou Saadat | Counselor | 1360 Beverly Rd Ste 200, Mc Lean, VA 22101-3647 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104452630 | Kyle Rose | Counselor | 1360 Beverly Road, Suite 200, Mclean, VA 22101 | 2020-03-16 |
| 1760036206 | Chesapeake Eye Care & Laser Center LLC | Ophthalmology | 6845 Elm Street Ste 250, Mclean, VA 22101 | 2019-08-01 |
| 1326691759 | Vansay Vorrasane | Physical Therapist | 1735 Kirby Road, Mclean, VA 22101 | 2019-07-24 |
| 1912464025 | Veronica Martinez | Occupational Therapist | 1735 Kirby Rd., Mclean, VA 22101 | 2019-02-25 |
| 1114409547 | Katia Julio Salomao | Behavior Technician | 1651 Old Meadow Rd Suite 600, Mclean, VA 22101 | 2018-09-01 |
| 1871086157 | Steeple Run Associates, LLC | In Home Supportive Care | 1499 Chain Bridge Road, Suite 203-a, Mclean, VA 22101 | 2018-06-11 |
| 1982110565 | Jennifer Gallagher Munroe | Counselor | 1485 Chain Bridge Rd Ste 300, Mc Lean, VA 22101 | 2017-12-19 |
| 1497272553 | Alireza Aram | Dentist | 8421 Broad Street, Ste 1319, Mclean, VA 22101 | 2017-08-29 |
| 1104347962 | Louise Parry | Social Worker | 1491 Chain Bridge Road #300, Weaver and Associates, Mclean, VA 22101 | 2017-07-03 |
| 1366979361 | Anita Kathleen Bryce | Social Worker | 1364 Beverly Road, #304, Mclean, VA 22101 | 2017-05-22 |
| Find all providers in zip 22101 | ||||
| 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 |
|---|---|---|---|---|
| 1902412919 | Eleni Rizakos | Psychologist | 8401 Greensboro Dr Ste 550, Mc Lean, VA 22102-5146 | 2020-09-16 |
| 1750717393 | Amy J Angleman | Psychologist | 8283 Greensboro Dr, Mc Lean, VA 22102-3830 | 2013-09-14 |
| 1710154562 | Courtnee Ann Pelton | Psychologist | 6830 Elm St, Mc Lean, VA 22101-3874 | 2008-05-12 |
| 1740796903 | Lori Barfield | Psychologist | 6845 Elm St Ste 507, Mc Lean, VA 22101-3859 | 2017-12-22 |
| 1053835785 | John Leso | Psychologist | 6723 Whittier Ave, Mc Lean, VA 22101-4522 | 2017-08-03 |
| 1255879045 | Beth Gouse | Psychologist | 1489 Chain Bridge Rd, 203, Mc Lean, VA 22101-5724 | 2017-02-01 |
| 1215276365 | Lori Bristow | Psychologist | 6723 Whittier Ave, Suite 206, Mc Lean, VA 22101-4522 | 2013-02-10 |
| 1356612527 | Maria L. Dittrich | Psychologist | 6801 Whittier Ave, Mc Lean, VA 22101-4520 | 2012-01-19 |
| 1104134436 | Barbara Zelda Mazer | Psychologist | 6862 Elm St, Suite 230, Mc Lean, VA 22101-3897 | 2010-09-21 |
| 1881908697 | Wendy Beth Berger | Psychologist | 6862 Elm St, Suite 230, Mc Lean, VA 22101-3897 | 2010-08-04 |
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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.