PROSUM PSYCHOLOGY PLLC (NPI# 1477808962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477808962 |
| Entity Type | Organization |
| Organization Name | PROSUM PSYCHOLOGY PLLC |
| Practice Address |
385 Garrisonville Rd Suite 113 Stafford VA 22554-1545 |
| Practice Telephone | 5406571228 |
| Practice Fax Number | 5406571999 |
| Mailing Telephone | 5406571228 |
| Mailing Fax Number | 5406571999 |
| Enumeration Date | 2012-07-20 |
| Last Update Date | 2012-07-20 |
| Authorized Official Name | DR. MEREDITH KRAUSE (PRESIDENT) |
| Authorized Official Telephone | 5407889122 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810000289 | VA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Prosum Psychology PLLC | 385 Garrisonville Rd Ste 113, Stafford, Virginia 22554 |
| Street Address |
385 GARRISONVILLE RD SUITE 113 |
| City | STAFFORD |
| State | VA |
| Zip Code | 22554-1545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558360214 | Yvonne M Villarreal | Family Medicine | 385 Garrisonville Rd, Suite 211, Stafford, VA 22554-1545 | 2005-07-15 |
| 1154856656 | Kairous Counseling | Counselor | 385 Garrisonville Rd, Suite 117, Stafford, VA 22554-1545 | 2017-04-22 |
| 1649666728 | Century Pediatrics, Inc | Physician Assistant | 385 Garrisonville Rd, Stafford, VA 22554-1545 | 2015-04-15 |
| 1497141477 | Bjorn Matthew Thorsen | Dentist | 385 Garrisonville Rd, Stafford, VA 22554 | 2015-04-07 |
| 1851702203 | Cole Sports Chiropractic & Rehab, LLC | Chiropractor | 385 Garrisonville Rd, Suite 121 & 211, Stafford, VA 22554-1545 | 2014-05-19 |
| 1346597879 | Andrea Marie Cathey | Nurse Practitioner | 385 Garrisonville Rd, Stafford, VA 22554-1545 | 2012-08-15 |
| 1215297395 | Meredith Krause | Psychologist | 385 Garrisonville Rd, Suite 113, Stafford, VA 22554-1545 | 2012-05-22 |
| 1891066643 | Shelly Oberst | Social Worker | 385 Garrisonville Rd, Suite 112, Stafford, VA 22554-1545 | 2012-01-24 |
| 1669780227 | Embracing Health, Inc. | Family Medicine | 385 Garrisonville Rd, Suite 211, Stafford, VA 22554-1545 | 2010-09-16 |
| 1093020976 | Rachel Anne Donnelly-morrison | Counselor | 385 Garrisonville Rd, Suite 112, Stafford, VA 22554-1545 | 2010-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699385658 | Publix North Carolina, Lp | Durable Medical Equipment & Medical Supplies | 1640 Publix Way, Stafford, VA 22554 | 2020-08-05 |
| 1700368156 | Aws Altameemi | Dentist | 392 Garrisonville Road 205, Stafford, VA 22554 | 2018-09-02 |
| 1831680214 | Radka Loucka | Counselor | 2124 Jefferson Davis Highway, Suite 202, Stafford, VA 22554 | 2018-05-22 |
| 1205383718 | Ogiawesome | Non-emergency Medical Transport (VAN) | 109 Chesterbrook Court, Stafford, VA 22554 | 2016-09-01 |
| 1184088502 | Inina Plucer-rosario | Behavioral Analyst | 12 Monument Drive, Stafford, VA 22554 | 2016-04-12 |
| 1528451218 | Insight Psychological Services, Pllc | Counselor | 11 Hope Rd., Suite 213, Stafford, VA 22554 | 2015-03-05 |
| 1194142885 | Krystal Karin Edmonds | Behavioral Analyst | 538 Apricot Street, Stafford, VA 22554 | 2014-03-20 |
| 1851715312 | Maryann Byrne | Counselor | 108 Brandice St, Stafford, VA 22554 | 2014-02-04 |
| 1164857272 | Melissa C Keylor | Counselor | 11 Hope Road, Suite 213, Stafford, VA 22554 | 2013-09-09 |
| 1255777959 | Sophia Rodrigues | Physical Therapist | 2777 Jefferson Davis Hwy, Suite 109, Performance Physical Therapy, Stafford, VA 22554 | 2013-05-21 |
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| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437567161 | Insight Psychological Services, Pllc | Psychologist | 2124 Jefferson Davis Hwy, Suite 102, Stafford, VA 22554-7264 | 2014-07-25 |
| 1487742102 | Linda Johnson Jackson | Psychologist | 10701 Corporate Dr Ste 220, Stafford, TX 77477-4093 | 2006-10-10 |
| 1770515074 | Thomas Cecil Mountz | Psychologist | 340 Hope Rd, Stafford, VA 22554-5303 | 2006-07-07 |
| 1871551465 | Janice Shabe | Psychologist | 2126 Jefferson Davis Highway, Suite 103, Stafford, VA 22554 | 2006-05-03 |
| 1427488758 | Melinda Cruz | Psychologist | 556 Garrisonville Rd, Ste 212, Stafford, VA 22554-7826 | 2013-11-22 |
| 1083950026 | Thrive Stafford | Psychologist | 556 Garrisonville Rd, Ste 212, Stafford, VA 22554-7826 | 2012-12-19 |
| 1326169236 | Carolyn Ann Davis | Psychologist | 10707 Corporate Dr, Suite 103, Stafford, TX 77477-4095 | 2007-04-02 |
| 1770612459 | Kenneth Edward Buckle | Psychologist | 10701 Corporate Dr, Suite 190, Stafford, TX 77477-4096 | 2007-03-05 |
| 1962594945 | Brad Eugene Michael | Psychologist | 10701 Corporate Dr, Suite 220, Stafford, TX 77477-4093 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
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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.