NEUROPSYCHOLOGY ASSOCIATES OF FAIRFAX (NPI# 1518259985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518259985 |
| Entity Type | Organization |
| Organization Name | NEUROPSYCHOLOGY ASSOCIATES OF FAIRFAX |
| Practice Address |
3020 Hamaker Ct Ste 103 Fairfax VA 22031-2220 |
| Practice Telephone | 7038760966 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | DR. MARY ELIZABETH QUIG (NEUROPSYCHOLOGIST/OWNER) |
| Authorized Official Telephone | 7038760966 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810002665 | VA | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Neuropsychology Associates of Fairfax LLC | 3020 Hamaker Court, Ste 103, Fairfax, Virginia 22031 |
| Street Address |
3020 HAMAKER CT STE 103 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22031-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801903000 | Cynthia Luck Sullivan | Clinical Neuropsychologist | 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 | 2006-08-24 |
| 1922651454 | Joanna Luzzi | Clinical Neuropsychologist | 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 | 2019-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902414105 | Su Jung Kang | Dentist | 9661-c Main Street, Fairfax, VA 22031 | 2020-07-14 |
| 1346896347 | Fuling Guo | Acupuncturist | 3013 James St, Fairfax, VA 22031 | 2019-08-15 |
| 1902458797 | Kayla Callister | Psychologist | 2270 Willow Oaks Corporate Drive, Fairfax, VA 22031 | 2019-07-11 |
| 1790349801 | Fairfax Dental Esthetics | Dentist | 9621 Fairfax Blvd., Fairfax, VA 22031 | 2019-04-24 |
| 1417427675 | Kathryn Yen Ho | Speech-Language Pathologist | 8270 Willow Oaks Corporate Drive Suite 2127, Falls Church, VA 22031 | 2018-11-30 |
| 1932681376 | Joanne Towers | Physician Assistant | 3025 Hamaker Court Suite 300, Fairfax, VA 22031 | 2018-09-01 |
| 1790262020 | S Renee Dennis | Nurse Practitioner | 8316 Arlington Blvd Ste 500, Fairfax, VA 22031 | 2018-07-19 |
| 1013493451 | Elizabeth Joan Dwyer | Physician Assistant | 3023 Hamaker Ct., Suite 500, Fairfax, VA 22031 | 2018-07-18 |
| 1316432669 | Delta Pharm LLC | Pharmacy | 8316 Arlington Blvd Ste 100, Fairfax, VA 22031 | 2018-06-28 |
| 1629567656 | Laura Breeden | Acupuncturist | 3846 Lyndhurst Dr Apt 301, Fairfax, Va, VA 22031 | 2018-05-04 |
| Find all providers in zip 22031 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008492 | Nicole N Hashemian | Clinical Neuropsychologist | 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 | 2020-09-18 |
| 1447877527 | Sabrina Kate Jennings | Clinical Neuropsychologist | 8100 Innovation Park Dr, Fairfax, VA 22031-4870 | 2020-07-06 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
| 1730525205 | Applied Neuropsychological Services, P.C. | Clinical Neuropsychologist | 11130 Fairfax Blvd. Suite 200, Fairfax, VA 22030-5017 | 2013-05-10 |
| 1194804914 | Barry B Ekdom Phd | Clinical Neuropsychologist | 3040 Williams Dr, Suite 402, Fairfax, VA 22031-4618 | 2006-11-03 |
| 1801903000 | Cynthia Luck Sullivan | Clinical Neuropsychologist | 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 | 2006-08-24 |
| 1922651454 | Joanna Luzzi | Clinical Neuropsychologist | 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 | 2019-07-23 |
| 1548715154 | Melissa Nicole Womble | Clinical Neuropsychologist | 8501 Arlington Blvd, Fairfax, VA 22031-4617 | 2016-08-24 |
| 1598085722 | Applied Neuropsychological Services PC | Clinical Neuropsychologist | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0985 | 2010-06-10 |
| 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.