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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103T00000X | Psychologist | 1081 | VA | Behavioral Health & Social Service Providers |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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 |
Street Address |
5205 LYNGATE CT |
City | BURKE |
State | VA |
Zip Code | 22015-1692 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972939502 | Lorraine Longfellow | Marriage & Family Therapist | 5205 Lyngate Ct, Burke, VA 22015-1692 | 2013-09-14 |
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 |
Find all providers in zip 22015 |
Taxonomy Code | 103T00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
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] |
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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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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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.