DR. TRACI EDWARDSON CALLANDRILLO (NPI# 1447531371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447531371 |
| Entity Type | Individual |
| Full Name | DR. TRACI EDWARDSON CALLANDRILLO |
| Credential | PH.D. |
| Practice Address |
4545 42nd St Nw Suite 202 Washington DC 20016-4623 |
| Practice Telephone | 5125348605 |
| Mailing Telephone | 5125348605 |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
PSY1000433 | DC | Behavioral Health & Social Service Providers |
| Street Address |
4545 42ND ST NW SUITE 202 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20016-4623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801843347 | Marilyn Krasner Bono | Social Worker | 4545 42nd St Nw, #212, Washington, DC 20016-4623 | 2006-05-30 |
| 1841788965 | Morgan Levine | Social Worker | 4545 42nd St Nw, Washington, DC 20016-4623 | 2018-04-24 |
| 1154866333 | Samantha Gordin | Social Worker | 4545 42nd St Nw, Washington, DC 20016-4623 | 2016-12-27 |
| 1578018180 | Frederick Alexander Smith | Psychologist | 4545 42nd St Nw, Suite 204, Washington, DC 20016-4623 | 2016-08-24 |
| 1497156046 | Elizabeth Topchik | Social Worker | 4545 42nd St Nw, Washington, DC 20016-4623 | 2014-09-12 |
| 1750782124 | Sharilyn Wiskup | Counselor | 4545 42nd St Nw, Suite 202, Washington, DC 20016-4623 | 2014-09-04 |
| 1619225588 | Lisa Carol Eaves | Acupuncturist | 4545 42nd St Nw, Ste 301, Washington, DC 20016-4623 | 2012-08-26 |
| 1174813877 | Sarah Bennett Phd | Psychologist | 4545 42nd St Nw, Suite 202, Washington, DC 20016-4623 | 2011-04-14 |
| 1942517685 | Mary L Froning, Psy.d., P.a. | Psychologist | 4545 42nd St Nw, Suite 300, Washington, DC 20016-4623 | 2010-09-01 |
| 1033432059 | Raymond I Band Md PC | Psychiatry & Neurology | 4545 42nd St Nw, Suite 310, Washington, DC 20016-4623 | 2010-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790390144 | Julie Marcus | Nurse Practitioner | 4200 Wisconsin Avenue Nw, 4th Floor, Washington, DC 20016 | 2020-09-12 |
| 1669080289 | Rachel Mary Lipman | Student in an Organized Health Care Education/Training Program | 5185 Macarthur Blvd, Washington, DC 20016 | 2020-07-20 |
| 1285253484 | Shawn Anthony Haupt | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2020-04-09 |
| 1457991176 | Joseph Stephen Driscoll | Specialist/Technologist | St. Albans School / Mount St, Alban, 3001 Wisconsin Ave, Washington, DC 20016 | 2020-01-10 |
| 1164063293 | Christine Ju | Dietitian, Registered | 3517 Ordway St Nw, Washington, DC 20016 | 2019-09-30 |
| 1376191072 | Carlitta Theresa Harris | Registered Nurse | 501 School Street Suite, Suite 200, Sw, DC 20016 | 2019-08-27 |
| 1295399384 | People's Lactation LLC | Registered Nurse | 3022 Wisconsin Ave Nw Apt 208, Washington, DC 20016 | 2019-04-24 |
| 1578057428 | Itzhak Brook | General Practice | 4431 Albemarle St. Nw, Washington, DC 20016 | 2018-06-14 |
| 1093211724 | Hannah Elise Sterling | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw 4th Floor, Department of Pediatrics, Washington, DC 20016 | 2018-04-02 |
| 1447755616 | Michele Elizabeth Zaragoza | Student in an Organized Health Care Education/Training Program | 4200 Wisconsin Ave Nw, 4th Floor, Dept of Pediatrics, Washington, DC 20016 | 2018-03-28 |
| Find all providers in zip 20016 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754365 | Vikram Surya Chiruvolu | Psychologist | 2032 Belmont Rd Nw Apt 312, Washington, DC 20009-5414 | 2019-05-09 |
| 1144706037 | Stephen Joseph Rossetti | Psychologist | 126 E St Se, Washington, DC 20003-2613 | 2018-07-14 |
| 1548774185 | Nicole Gigi Giordano | Psychologist | 4200 Connecticut Ave Nw Ste 120, Washington, DC 20008-1122 | 2017-11-17 |
| 1285143172 | Erica Shawn Merson | Psychologist | 1555 Connecticut Ave Nw Ste 300, Washington, DC 20036-1125 | 2017-09-24 |
| 1043756224 | Reignite Psychological & Consulting Services, LLC | Psychologist | 2001 Benning Rd Ne, Fl 2, Washington, DC 20002-4728 | 2017-01-12 |
| 1275083701 | Ryan Garrett Robinson | Psychologist | 420 Ridge St Nw, Washington, DC 20001-4622 | 2016-10-07 |
| 1922396167 | John C. Wright | Psychologist | 1 Danall Hall Counseling & Psychiatric Service, 37th & O Streets, Nw, Washington, DC 20057-1105 | 2011-07-20 |
| 1861798670 | Sheetal Patel | Psychologist | 1660 Lanier Pl Nw, #201, Washington, DC 20009-2969 | 2011-01-27 |
| 1558515619 | Kolene Faye Granger | Psychologist | 1415 N Old Course Rd, Washington, UT 84780-1339 | 2008-11-15 |
| 1184884223 | Kathryn Hodges Camicia | Psychologist | 1350 Conn. Ave., N.w., Suite 405, Washington, DC 20036 | 2008-06-12 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20016 |
Please comment or provide details below to improve the information on DR. TRACI EDWARDSON CALLANDRILLO.
| 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.