MARK S PEREZ-LOPEZ (NPI# 1932120730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932120730 |
| Entity Type | Individual |
| Full Name | MARK S PEREZ-LOPEZ |
| Credential | PH D LCP |
| Practice Address |
200 Professional Park Dr Se Suite 4 Blacksburg VA 24060-6679 |
| Practice Telephone | 5409514800 |
| Practice Fax Number | 5409513081 |
| Mailing Telephone | 5409514800 |
| Mailing Fax Number | 5409513081 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810003586 | VA | Behavioral Health & Social Service Providers |
| Street Address |
200 PROFESSIONAL PARK DR SE SUITE 4 |
| City | BLACKSBURG |
| State | VA |
| Zip Code | 24060-6679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225027915 | Linda Ward Felts | Social Worker | 200 Professional Park Dr Se, Suite 1, Blacksburg, VA 24060-6679 | 2005-10-17 |
| 1477835353 | Katherine Mcnamee Reinholtz | Naturopath | 200 Professional Park Dr Se, Suite #3, Blacksburg, VA 24060-6679 | 2011-09-15 |
| 1932358777 | Cara R Henry | Social Worker | 200 Professional Park Dr Se, Suite 4, Blacksburg, VA 24060-6679 | 2008-09-17 |
| 1497902472 | Krysta Webster Fink | Psychologist | 200 Professional Park Dr Se, Suite 4, Blacksburg, VA 24060-6679 | 2008-08-21 |
| 1184835134 | Dr. Leander Lanier Sr., D.d.s. P.C. | Dentist | 200 Professional Park Dr Se, Suite 5, Blacksburg, VA 24060-6679 | 2007-05-24 |
| 1366593469 | Jane Keppel-benson | Psychologist | 200 Professional Park Dr Se, Suite 1, Blacksburg, VA 24060-6679 | 2007-01-15 |
| 1083763460 | Dianne Silver Jones-freeman | Counselor | 200 Professional Park Dr Se, Suite 1, Blacksburg, VA 24060-6679 | 2007-01-09 |
| 1376600908 | Counseling Associates of Southwest Virginia, Inc | Counselor | 200 Professional Park Dr Se, Blacksburg, VA 24060-6679 | 2007-01-02 |
| 1528179454 | Ellie T Sturgis | Psychologist | 200 Professional Park Dr Se, Suite 1, Blacksburg, VA 24060-6679 | 2006-08-31 |
| 1124041223 | James E Garrison Jr. | Counselor | 200 Professional Park Dr Se, Suite 1, Blacksburg, VA 24060-6679 | 2006-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144789215 | Center for Cognition, Language & Speech, LLC | Speech-Language Pathologist | 1999 South Main St., Suite 303, Blacksburg, VA 24060 | 2019-03-18 |
| 1669945465 | Hannah Jacqueline Lower | Physical Therapy Assistant | Kroontje Healthcare Center, 100 Litton Lane, Blacksburg, VA 24060 | 2019-01-04 |
| 1720568637 | Amy Butler | Nurse Practitioner | Blue Ridge Cancer Center, 2955 Research Drive, Blacksburg, VA 24060 | 2018-08-20 |
| 1134615321 | Benjamin Toliver Matthews | Dentist | 1400 S. Main St, Ste 1, Blacksburg, VA 24060 | 2018-07-10 |
| 1881107100 | New River Periodontics and Dental Implant Center, PC | Dentist | 2612 Sheffield Drive, Blacksburg, VA 24060 | 2017-11-08 |
| 1316333685 | Access and Mobility | Durable Medical Equipment & Medical Supplies | 2536 Blossom Trail West, Blackburg, VA 24060 | 2015-04-13 |
| 1326485202 | Kristopher Joel Hansen | Internal Medicine | 2600 Research Center Dr Ste A, Blacksburg, VA 24060 | 2013-05-31 |
| 1891038949 | Holly P. Martin | Physician Assistant | 3706 South Main Street, Suite D, Blacksburg, VA 24060 | 2013-03-27 |
| 1174875330 | Catawba Hospital | Chronic Disease Hospital | 1801 Glade Road, Blacksburg, VA 24060 | 2012-10-11 |
| 1083964316 | Karla Sue Soukup | Marriage & Family Therapist | 510 S. Main Street, Blackburg, VA 24060 | 2012-09-13 |
| Find all providers in zip 24060 | ||||
| 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 |
|---|---|---|---|---|
| 1497786032 | Lee Cooper | Psychologist | 3110 Prices Fork Rd, Blacksburg, VA 24061-0001 | 2006-07-05 |
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|---|---|---|---|---|
| 1932715174 | Weir Airways, Incorporated | Psychologist | 745 48th St, Newport News, VA 23607-2243 | 2020-09-22 |
| 1902412919 | Eleni Rizakos | Psychologist | 8401 Greensboro Dr Ste 550, Mc Lean, VA 22102-5146 | 2020-09-16 |
| 1467074351 | Esther Palacios-barrios | Psychologist | 8110 Parkdale Ct, Springfield, VA 22153-3601 | 2020-05-13 |
| 1548881352 | Kevin Raymond Tarlow | Psychologist | 2000 Riverside Drive, Apt. 6c, Richmond, VA 23225 | 2020-05-04 |
| 1912527458 | Roger M Solomon | Psychologist | 4001 9th St N Apt 404, Arlington, VA 22203-1958 | 2020-04-24 |
| 1790305464 | Jacqueline Diana Alexander | Psychologist | 225 Reserve Blvd Apt 303, Charlottesville, VA 22901-1665 | 2020-04-22 |
| 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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| City | BLACKSBURG |
| Zip Code | 24060 |
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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.