MARILOU V INOCALLA (NPI# 1932163375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932163375 |
| Entity Type | Individual |
| Full Name | MARILOU V INOCALLA |
| Credential | MD |
| Practice Address |
770 W Ridge Rd Wytheville VA 24382-1046 |
| Practice Telephone | 2762233200 |
| Practice Fax Number | 2762230617 |
| Mailing Telephone | 2762233200 |
| Mailing Fax Number | 2762233061 |
| Enumeration Date | 2006-04-13 |
| Last Update Date | 2013-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
010148106 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101048106 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 004945298 | 05 | |
| VA | VALUEOPTIONS | 166785 | 01 |
| MEDICARE RAILROAD | 260023506 | 01 | |
| ANTHEM | 280114 | 01 | |
| VA | ANTHEM | 280113 | 01 |
| VA | ANTHEM | 280116 | 01 |
| MAGELLAN | 247755000 | 01 | |
| VA | ANTHEM | 139018 | 01 |
| Street Address |
770 W RIDGE RD |
| City | WYTHEVILLE |
| State | VA |
| Zip Code | 24382-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598731853 | Ashley Rey Butt | Social Worker | 770 W Ridge Rd, Suite 220, Wytheville, VA 24382-1187 | 2006-02-27 |
| 1396301248 | Melanie Dawn Walters Totten | Social Worker | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2019-05-16 |
| 1508315839 | Kimberly Wells | Nurse Practitioner | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2016-09-28 |
| 1851771281 | Michael Ashby | Counselor | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2015-06-01 |
| 1770996837 | Angela Berry | Counselor | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2014-06-06 |
| 1841635380 | Jason Poston | Social Worker | 770 W Ridge Rd, Suite 220, Wytheville, VA 24382-1187 | 2013-05-09 |
| 1811268501 | Amy Lynne Burns | Counselor | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2012-01-26 |
| 1306125786 | Kimberly B Bryd | Counselor | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2011-08-16 |
| 1881910289 | Andrew Thomas Peddy | Counselor | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2010-04-12 |
| 1316271786 | Dianne M Mccarty | Social Worker | 770 W Ridge Rd, Wytheville, VA 24382-1187 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538709118 | Pt Solutions LLC | Physical Therapist | 1050 Holston Road, Wytheville, VA 24382 | 2020-01-10 |
| 1881233377 | Amie S Newberry | Physical Therapist | 1050 Holston Rd, Wytheville, VA 24382 | 2019-12-31 |
| 1174160618 | Erin Leigh Dejesus | Family Medicine | 375 W Ridge Rd, Wytheville, VA 24382 | 2019-12-03 |
| 1629639497 | Family Preservatrion Services, Inc. | Community/Behavioral Health | 425 Grayson Presbyterian Road, Wytheville, VA 24382 | 2019-06-24 |
| 1023527926 | Emily Kingrey | Occupational Therapist | 800 E Main St., Suite 310, Wytheville, VA 24382 | 2017-09-22 |
| 1184149247 | Linda Huber | Driver | 610 E Washington St, Wytheville, VA 24382 | 2017-08-10 |
| 1578987558 | Family Preservation Services, Inc | Community/Behavioral Health | 695 East Marshall Street, Wytheville, VA 24382 | 2014-02-11 |
| 1255774121 | Forest Pharmacy Inc | Pharmacy | 1787 W Lee Highway, Suite B, Wytheville, VA 24382 | 2013-04-10 |
| 1447500400 | Guardian Pharmacy of Virginia LLC | Pharmacy | 860 Stafford Umberger Dr, Wytheville, VA 24382 | 2012-09-17 |
| 1669604385 | Catherine Elizabeth Russell | Physical Therapist | 710 West Ridge Rd, Suites E & F, Wytheville, VA 24382 | 2009-08-13 |
| Find all providers in zip 24382 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669421020 | David B Brunstetter | Psychiatry & Neurology | 165 Peppers Ferry Rd, Wytheville, VA 24382-2363 | 2006-05-10 |
| 1518921642 | Marlon A Graham | Psychiatry & Neurology | 525 W Monroe St, Wytheville, VA 24382-2237 | 2006-04-14 |
| 1871554907 | Maria C Abeleda | Psychiatry & Neurology | 770 W Ridge Rd, Suite 220, Wytheville, VA 24382-1046 | 2006-03-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134727522 | Assessment & Counseling of Williamsburg Plc | Psychiatry & Neurology | 113 Rudder Ct, Williamsburg, VA 23185-5288 | 2020-10-16 |
| 1407460413 | Demetrous Johnston | Psychiatry & Neurology | 2 Eaton St # 909, Hampton, VA 23669-4054 | 2020-09-07 |
| 1427661859 | Better Way Psychiatry Pllc | Psychiatry & Neurology | 4925 Boonsboro Road, Pmb 137, Lynchburg, VA 24503 | 2020-08-25 |
| 1538770623 | Whidbey Island Public Hospital District | Psychiatry & Neurology | 4215 Lorcom Ln, Arlington, VA 22207-3305 | 2020-08-12 |
| 1588274435 | Holisticare Behavioral Health Svs LLC | Psychiatry & Neurology | 8101 Hinson Farm Rd Ste 214, Alexandria, VA 22306-3406 | 2020-08-05 |
| 1881202729 | Bagla LLC | Psychiatry & Neurology | 2103 Electric Rd Ste A, Roanoke, VA 24018-2303 | 2020-07-16 |
| 1548886393 | Sandhya Rajasekhara | Psychiatry & Neurology | 3057 George Washington Memorial Hwy, Hayes, VA 23072-3300 | 2020-06-17 |
| 1083237747 | Fresh Focus Psychiatric Services Pllc | Psychiatry & Neurology | 825 Davis St Ste D, Blacksburg, VA 24060-7009 | 2020-05-28 |
| 1629698766 | Forefront Telecare Medical Services PC | Psychiatry & Neurology | 728 Hillmont Cir Apt 201, Harrisonburg, VA 22801-2457 | 2020-04-18 |
| 1528693769 | Free Range Psychiatry Inc | Psychiatry & Neurology | 296 Forest Hills Dr, Luray, VA 22835-9106 | 2020-03-09 |
| Find all providers with the same taxonomy | ||||
| City | WYTHEVILLE |
| Zip Code | 24382 |
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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.