DR. BEENA JENNIFER PREMKUMAR (NPI# 1144649567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144649567 |
| Entity Type | Individual |
| Full Name | DR. BEENA JENNIFER PREMKUMAR |
| Credential | M.D. |
| Practice Address |
600 Jackson St Fredericksburg VA 22401-5719 |
| Practice Telephone | 5403733223 |
| Practice Fax Number | 5403713753 |
| Mailing Telephone | 5403733223 |
| Mailing Fax Number | 5403713753 |
| Enumeration Date | 2014-04-14 |
| Last Update Date | 2019-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101264489 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
T-3193 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 08380581 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 15 Hope Rd, Stafford, VA 225547202 | 5406592725 | 5403713753 |
| 8479 Saint Anthonys Rd, King George, VA 224853408 | 5407759879 | 5403713753 |
| Street Address |
600 JACKSON ST |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22401-5719 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952360109 | Frank D. Deforest | Psychologist | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2006-03-17 |
| 1255938429 | Kari L Gent | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-10-01 |
| 1760093876 | Sol L Redd-martin | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-08-12 |
| 1497365241 | Anna L Loftis | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-08-06 |
| 1558996488 | Francesca N Coello Palmisano | Occupational Therapist | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-03-11 |
| 1346871829 | Peggy L Mull-johnson | Counselor | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2020-02-03 |
| 1548808504 | Heather Renee Honaker | Counselor | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-12-20 |
| 1811532211 | Fernanda Regina Webster | Counselor | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-11-10 |
| 1366085334 | Caitlin M Riggins | Social Worker | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-10-23 |
| 1811547425 | Sarah Lynn Young | Occupational Therapy Assistant | 600 Jackson St, Fredericksburg, VA 22401-5719 | 2019-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992313415 | Amanda Dodd | Behavior Technician | 1411 Princess Anne, Fredericksburg, VA 22401 | 2020-07-21 |
| 1215567326 | Britteny Whitaker | Behavior Technician | 1411 Princess Ann, Fredericksburg, VA 22401 | 2020-01-17 |
| 1396389433 | Ashley Stanevich | Behavior Technician | 1411 Princess Anne Lane, Fredericksburg, VA 22401 | 2019-11-01 |
| 1265074231 | Anna Kelleher | Behavior Technician | 1411 Princess Anna St, Frericksburg, VA 22401 | 2019-10-11 |
| 1649824152 | Zaan Z Ali | Audiologist | 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 | 2019-08-01 |
| 1790342426 | Michael Williams Jr. | Physician Assistant | 411 B Park Hill Dr, Frederickburg, VA 22401 | 2019-05-29 |
| 1285290965 | Ann Damalie Namabiro | Behavior Technician | 1411 Princess Ann Street, Fredericksburg, VA 22401 | 2019-05-17 |
| 1922579630 | Primary and Urgent Care LLC | Family Medicine | Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 | 2018-12-07 |
| 1003323056 | Mariah Mazzariello | Behavior Technician | 1411 Princess Anne Stree, Fredericksburg, VA 22401 | 2017-12-29 |
| 1336655281 | Hina Zafar | Behavior Technician | 1411 Princess Anne St., Fredericksburg, VA 22401 | 2017-12-14 |
| Find all providers in zip 22401 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457483109 | Valerie H. Boulware | Psychiatry & Neurology | 6330 Five Mile Centre Park, Suite 400, Fredericksburg, VA 22407-5516 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
| 1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
| 1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
| 1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
| 1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
| 1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22401 |
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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.