DR. NANCY DUTTON POTTER


Address: 5205 Lyngate Ct, Burke, VA 22015-1692
Phone: 7037640702

DR. NANCY DUTTON POTTER (NPI# 1417947045) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417947045
Entity Type Individual
Full Name DR. NANCY DUTTON POTTER
Credential PHD
Practice Address 5205 Lyngate Ct
Burke
VA 22015-1692
Practice Telephone 7037640702
Practice Fax Number 7037640190
Mailing Telephone 7037640702
Mailing Fax Number 7037640190
Enumeration Date 2005-10-25
Last Update Date 2011-01-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103T00000X Psychologist 1081 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
OPTIONS 075082 01
CAREFIRST BCBS 4752 01
VA 7700822 05
MHN 323312 01
MAGELLAN MIS 099947000 01
VA ANTHEM BCBS TRIGOD 078759 01
TRICARE 323312 01

Other Providers NANCY POTTER

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1811122252 Nancy L Potter Speech-Language Pathologist 1618 N River Vista, Spokane, WA 99224-5725 2009-05-28
1891993739 Nancy Elizabeth Potter Speech-Language Pathologist 222 Cornell Pl, Louisville, KY 40207-2930 2007-07-03
1386623239 Nancy Jane Potter Nurse Practitioner 1915 Oxford Lane, Suite 101, Casper, WY 82604 2006-01-10
1215049333 Nancy A Potter Nurse Practitioner 3901 Rainbow Blvd, 2026 Miller Mail Stop 4004, Kansas City, KS 66160 2006-08-31

Office Location

Street Address 5205 LYNGATE CT
City BURKE
State VA
Zip Code 22015-1692

Providers in the same location

NPI Name Taxonomy Address Enumeration
1972939502 Lorraine Longfellow Marriage & Family Therapist 5205 Lyngate Ct, Burke, VA 22015-1692 2013-09-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1346876182 Fereshteh Khodaei Shahrokhi Social Worker Lyngate Ct, Suite 200, Burke, VA 22015 2020-03-12
1255891594 Dental Care Burke Clinic/Center 9239 Old Keene Road, Burke, VA 22015 2019-03-22
1659866846 Yasamin Abbaszadeh Rasool Dentist 9006 Crownwood Ct, Unit A, Burke, VA 22015 2018-06-29
1407228463 Burke Dental, Pllc Dentist 9006 Fern Park Dr., Suite A, Burke, VA 22015 2015-10-29
1255717575 Chara Civitello Occupational Therapist 5804 Chase Commons Court Apt 207, Burke, VA 22015 2015-08-10
1235576745 Pediatric Dentistry of Burke PC Dentist 5284 Lyngate Court, Burke, VA 22015 2013-05-24
1477801074 Grace T Neria Nutritionist 9108 Lyon Park Court, Burke, VA 22015 2012-08-29
1467711366 Julio A Dejo Md PC Internal Medicine 8998 Fern Park Dr., Burke, VA 22015 2012-05-11
1720373046 Neelima Neelapala Physical Therapist 5982 Annaberg Pl, Burke, VA 22015 2011-06-15
1528294980 Veena Rani Puri Butler Nurse Practitioner 8988 Fern Park Drive, Burke, VA 22015 2009-05-29
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Taxonomy Information

Taxonomy Code 103T00000X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1912487927 Stephanie Marie Lopez Rivera Psychologist 10302 Mockingbird Pond Ct, Burke, VA 22015-3715 2018-08-19
1770637621 William Walter Commins Psychologist 8996 Burke Lake Rd Ste 300, Burke, VA 22015-1607 2007-01-22
1740379577 Brian Sugden Psychologist 6456 Lake Meadow Dr, Burke, VA 22015-3927 2006-10-12
1528341989 Jennifer L Spatzer Psychologist 9554 Old Keene Mill Rd, Suite F, Burke, VA 22015-4287 2011-09-22
1760508345 Martha Bobinski Rapp Psychologist 5999 Burke Commons Rd, Burke, VA 22015-2880 2007-03-22
1215005632 Davina Gabriela Psychologist 5999 Burke Commons Rd, Burke, VA 22015-2880 2006-12-01

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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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Competitor

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City BURKE
Zip Code 22015

Improve Information

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Dataset Information

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.

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