DR. LAUREN KING WALL (NPI# 1578970224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578970224 |
| Entity Type | Individual |
| Full Name | DR. LAUREN KING WALL |
| Credential | PSY.D. |
| Practice Address |
1810 Michael Faraday Dr Ste 204 Reston VA 20190-5330 |
| Mailing Address |
11130 Fairfax Blvd Ste 305 Fairfax VA 22030-5035 |
| Practice Telephone | 7039753710 |
| Mailing Telephone | 7036911326 |
| Mailing Fax Number | 7036913553 |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2019-05-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810005020 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11130 Fairfax Blvd Ste 305, Fairfax, VA 220305035 | 7036911326 | 7036913553 |
| 1810 Michael Faraday Dr Ste 204, Reston, VA 201905330 | 7039753710 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356786420 | Lauren Wall | Registered Nurse | 54 View Ridge Ln, Friday Harbor, WA 98250-8868 | 2013-05-02 |
| 1508233875 | Lauren R Wall | Physical Therapy Assistant | 427 W Centerton Blvd, Centerton, AR 72719-8701 | 2015-08-21 |
| 1225419633 | Lauren Elizabeth Wall | Physician Assistant | 3001 Edwards Mill Rd Ste 200, Raleigh, NC 27612-5243 | 2015-06-11 |
| Street Address |
1810 MICHAEL FARADAY DR STE 204 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811556434 | Northern Virginia Psychology Professionals, LLC | Clinic/Center | 1810 Michael Faraday Dr Ste 204, Reston, VA 20190-5330 | 2019-06-07 |
| 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 |
| Find all providers in zip 20190 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275916413 | Claudia Patricia Amendola | Psychologist | 1818 Library St Ste 567, Reston, VA 20190-6242 | 2015-07-07 |
| 1144505082 | Abram Sterne | Psychologist | 11150 Sunset Hills Road, Suite 150, Family Compass, Reston, VA 20190 | 2011-10-11 |
| 1568741841 | Tara Luv Travia | Psychologist | 11250 Roger Bacon Dr Ste 2, Reston, VA 20190-5202 | 2011-08-04 |
| 1083751648 | Linda Rose Goglia | Psychologist | 11333 Sunset Hills Road, Linda R Goglia Phd, Reston, VA 20190-5205 | 2007-01-31 |
| 1043362197 | Charles Ernest Burt | Psychologist | 1800 Michael Faraday Dr Ste 206, Reston, VA 20190-5312 | 2007-01-17 |
| 1952467664 | Carlos Durana | Psychologist | 11417 Tanbark Dr, Reston, VA 20191-4103 | 2006-12-28 |
| 1932269339 | Mary Jo Smrekar | Psychologist | 11231 Handlebar Rd, Reston, VA 20191-3907 | 2006-12-08 |
| 1962578195 | Robert P. Rugel | Psychologist | 11506 Purple Beech Dr, Reston, VA 20191-1328 | 2006-11-28 |
| 1225148976 | Sarita Bobrick Kaplan | Psychologist | 11333 Sunset Hill Road, Reston, VA 20190-5205 | 2006-08-30 |
| 1881674885 | Bruce V Corsino | Psychologist | 12166 Chancery Station Cir, Reston, VA 20190-5803 | 2006-01-18 |
| Find all providers in RESTON | ||||
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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.