DR. KYLE STANDIFORD (NPI# 1033568639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033568639 |
Entity Type | Individual |
Full Name | DR. KYLE STANDIFORD |
Credential | PSY.D. |
Practice Address |
360 Maple Ave W Ste F Vienna VA 22180-5614 |
Practice Telephone | 7039380058 |
Mailing Telephone | 7039350058 |
Enumeration Date | 2016-06-06 |
Last Update Date | 2020-07-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810006379 | VA | Behavioral Health & Social Service Providers |
Address | Telephone Number | Fax Number |
---|---|---|
6300 Stevenson Ave Ste B, Alexandria, VA 223043554 | 7039350058 |
Street Address |
360 MAPLE AVE W STE F |
City | VIENNA |
State | VA |
Zip Code | 22180-5614 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023519386 | Erika Ruiz | Dentist | Ave Miraflores #6439 - A, Tijuana, BAJA CALIFORNIA 22180 | 2018-02-22 |
1992220206 | John Alexander | Massage Therapist | 122 Maple Ave W, Vienna, VA 22180 | 2017-08-08 |
1548620214 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 2675 Avenir Place, Vienna, VA 22180 | 2016-02-24 |
1992163190 | Peter J Mcgarry | Chiropractor | 301 Maple Ave. W. Ste 515, Vienna, VA 22180 | 2016-02-02 |
1629479563 | Jaimie Vettichira Samuel | Pediatrics | 100 East St Se Ste 301, Vienna, VA 22180 | 2014-09-10 |
1326454562 | N R Emad Dds PC | Dentist | 307 F Maple Ave. W #100, Vienna, VA 22180 | 2014-07-09 |
1881020568 | Albert Juan Garcia | Obstetrics & Gynecology | 926 Fairway Dr., N.e., Vienna, VA 22180 | 2013-09-25 |
1295174662 | Sallie Twentyman | Social Worker | 129 Park St Ne Ste 12b, Vienna, VA 22180 | 2013-06-19 |
1124390992 | Gilda T. Clarke | Counselor | 133 Park St. Ne, Vienna, VA 22180 | 2012-02-08 |
1740573898 | Metro Eyes LLC | Technician/Technologist | 256 E Maple Avenue, Vienna, VA 22180 | 2011-05-24 |
Find all providers in zip 22180 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881206035 | Lutheran Social Services of Illinois | Psychologist | 45 Industrial Dr, Vienna, IL 62995-1674 | 2020-08-19 |
1982152831 | Gail Ann Kelsey | Psychologist | 131 Church St Nw, Vienna, VA 22180-4546 | 2016-09-20 |
1740614783 | Ashley Hallheimer | Psychologist | 8381 Old Courthouse Rd Ste 330, Vienna, VA 22182-3818 | 2013-08-27 |
1457628448 | Christine M Howard | Psychologist | 8381 Old Courthouse Rd, Suite 330, Vienna, VA 22182-3818 | 2011-11-19 |
1790078152 | Normalbalance, LLC | Psychologist | 2235 Cedar Ln Ste 101, Vienna, VA 22182-5247 | 2011-05-18 |
1801043757 | Margarita Avedisian | Psychologist | 346 Maple Ave W, Vienna, VA 22180-5612 | 2008-08-22 |
1285894451 | Mary F. Schumann | Psychologist | 380 Maple Ave West, Suite 200, Vienna, VA 22180-5620 | 2008-06-11 |
1104003524 | John Russell Atkinson | Psychologist | 1007 38th St, Vienna, WV 26105-2741 | 2008-01-28 |
1083803456 | John P Allen | Psychologist | 2009 Carriage Ct, Vienna, VA 22181-2923 | 2007-10-22 |
1972716702 | William Walter Clark | Psychologist | 2110 Gallows Rd # B, Vienna, VA 22182-3962 | 2007-05-08 |
Find all providers in VIENNA |
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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.