DR. NATALIE MOSS WAGGENER (NPI# 1578674313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578674313 |
| Entity Type | Individual |
| Full Name | DR. NATALIE MOSS WAGGENER |
| Credential | PHD |
| Practice Address |
1800 Town Center Dr Ste 411 Reston VA 20190 |
| Practice Telephone | 7034373236 |
| Practice Fax Number | 7034357422 |
| Mailing Telephone | 7034373236 |
| Mailing Fax Number | 7034357422 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | 0810001841 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BCBS | 147400 | 01 |
| Street Address |
1800 TOWN CENTER DR STE 411 |
| City | RESTON |
| State | VA |
| Zip Code | 20190 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528061074 | Kenneth Michael Karlin | Ophthalmology | 1800 Town Center Dr, Ste 317, Reston, VA 20190-3239 | 2005-05-27 |
| 1104352061 | Gwilym Parry Mdpc | Internal Medicine | 1800 Town Center Dr, Suite 212, Reston, VA 20190-3215 | 2017-05-11 |
| 1225564198 | Tessa Cholmondeley Md PC | Internal Medicine | 1800 Town Center Dr, Suite 212, Reston, VA 20190-3215 | 2017-05-11 |
| 1568858116 | Reston Eye Associates | Ophthalmology | 1800 Town Center Dr, Suite 316, Reston, VA 20190-3215 | 2015-04-10 |
| 1871922492 | David Cranford | Psychologist | 1800 Town Center Dr, Ste 420, Reston, VA 20190-3215 | 2013-11-04 |
| 1447684279 | Loudoun Medical Group PC | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 220, Reston, VA 20190-3215 | 2013-08-28 |
| 1518301035 | Nova Medical Center, PC | Chiropractor | 1800 Town Center Dr, Suite 315b, Reston, VA 20190-3215 | 2013-04-26 |
| 1023353976 | Loudoun Medical Group PC | Internal Medicine | 1800 Town Center Dr, Suite 214, Reston, VA 20190-3215 | 2012-12-04 |
| 1811285612 | Stephanie Swanson | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 220, Reston, VA 20190-3215 | 2011-07-13 |
| 1972809960 | Northern Virginia Pelvic Surgery Associates, PC | Obstetrics & Gynecology | 1800 Town Center Dr, Suite 311, Reston, VA 20190-3215 | 2011-02-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912548470 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1906 Reston Metro Plaza, Suite 100, Reston, VA 20190 | 2019-10-04 |
| 1205483260 | Northern Virginia Applied Behavior Analysis, L.L.C. | Behavioral Analyst | 1984 Issac Newton Square West, Suite 204, Reston, VA 20190 | 2019-08-23 |
| 1336796481 | Sandra Chiunda | Nurse Practitioner | 11484 Washington Plaza W 3rd Floor, Reston, VA 20190 | 2019-08-23 |
| 1891357232 | Beyond Counseling, Inc. | Clinic/Center | 11250 Roger Bacon Dr., Atrium 5, Reston, VA 20190 | 2019-07-06 |
| 1003470063 | Sarah Katharina Jungnitsch | Registered Nurse | Reston Anesthesia Associates, 11341 Sunset Hills Road, Reston, VA 20190 | 2019-04-25 |
| 1194202341 | May Health Care Services Inc | Home Health | 12110 Sunset Hills Road Suite 600, Reston, VA 20190 | 2018-07-20 |
| 1245739895 | Carlee B. Genung | Physician Assistant | 1760 Reston Parkway Suite 306, Reston, VA 20190 | 2018-02-09 |
| 1760901045 | Kristen Kelly | Dietitian, Registered | 11703 Bowman Green Drive, Lower Level, Reston, VA 20190 | 2017-09-18 |
| 1245778992 | Sarah Christine Bernstein | Occupational Therapist | 1860 Town Center Drive Ste, Suite 300, Reston, VA 20190 | 2017-02-02 |
| 1023495298 | Phillip Nguyen | Dentist | 1800 Town Center Dr Ste 116, Reston, VA 20190 | 2015-04-27 |
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| 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 |
|---|---|---|---|---|
| 1497246250 | Thinkblot Behavioral Sciences, Pllc | Psychologist | 1625 Greenbriar Ct, Reston, VA 20190-4418 | 2018-05-28 |
| 1770009425 | Kathleen Ann Christian | Psychologist | 11250 Roger Bacon Dr Ste 5, Reston, VA 20190-5202 | 2017-08-15 |
| 1114049962 | Chiara Simeone-difrancesco | Psychologist | 11160c1 S Lakes Dr, #182, Reston, VA 20191-4327 | 2007-04-04 |
| 1205909801 | Doris Jean Snow | Psychologist | 1810 Michael Faraday Drive, #200, Reston, VA 20190 | 2006-11-15 |
| 1306957121 | Arnold Charles Small | Psychologist | 1800 Town Center Dr # 411, Reston, VA 20190 | 2006-08-31 |
| 1518078328 | Robert A Lavine | Psychologist | 1800 Town Center Drive Suite 411, Reston, VA 20190-3240 | 2006-08-31 |
| 1639477557 | William R Chatlos | Psychologist | 11333 Sunset Hills Road, Reston, VA 20190-5205 | 2011-03-01 |
| 1114017399 | Edward David Farber | Psychologist | 1800 Town Center Dr, #411, Reston, VA 20190 | 2006-10-16 |
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|---|---|---|---|---|
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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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| 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.