PERRY CAMP JR. (NPI# 1205449477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205449477 |
| Entity Type | Individual |
| Full Name | PERRY CAMP JR. |
| Credential | M.ED. |
| Practice Address |
4403 Dixie Hill Rd Unit 205 Fairfax VA 22030 |
| Mailing Address |
12587 Fair Lakes Cir # 267 Fairfax VA 22033-3822 |
| Practice Telephone | 6014971413 |
| Enumeration Date | 2020-08-28 |
| Last Update Date | 2020-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TS0200X |
Psychologist Specialization: School |
DC | Behavioral Health & Social Service Providers | |
| Y | 103TS0200X |
Psychologist Specialization: School |
55-0557 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962166 | Perry E Camp | Neurological Surgery | 301 W Poplar St, Ste 220, Walla Walla, WA 99362-2858 | 2005-06-20 |
| Street Address |
4403 DIXIE HILL RD UNIT 205 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| 1265946750 | Serene Solutions Counseling & Consulting Services, LLC | Community/Behavioral Health | 10621 Jones Street, 201b, Fairfax, VA 22030 | 2017-11-20 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1235624230 | Kathleen Thibodeau | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3050, Fairfax, VA 22031-4511 | 2018-06-22 |
| 1679079917 | Stephanie Melton Harris | Psychologist | 8270 Willow Oaks Co Dr Fl 3, Fairfax, VA 22031-4511 | 2018-04-04 |
| 1346746955 | Margaret Moore | Psychologist | 8270 Willow Oaks Co Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-04-03 |
| 1730682667 | Kathryn Casterline | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3069, Fairfax, VA 22031-4511 | 2018-03-16 |
| 1639671605 | Marissa Danielle Bilodeau | Psychologist | 8270 Willow Oaks Corporate Dr Ste 2069, Fairfax, VA 22031-4511 | 2018-03-06 |
| 1427550029 | Emily Hannah Perlman | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3061, Fairfax, VA 22031-4511 | 2018-02-28 |
| 1740712959 | Megan Mcpeak Davis | Psychologist | 3925 Old Lee Hwy Ste 52a, Fairfax, VA 22030-2426 | 2017-03-28 |
| Find all providers in FAIRFAX | ||||
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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.