JEREMY T. WALDEN


Address: 600 Jackson St, Fredericksburg, VA 22401-5719
Phone: 5403733223

JEREMY T. WALDEN (NPI# 1649535246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649535246
Entity Type Individual
Full Name JEREMY T. WALDEN
Credential PSY.D.
Practice Address 600 Jackson St
Fredericksburg
VA 22401-5719
Practice Telephone 5403733223
Practice Fax Number 5403713753
Mailing Telephone 5403733223
Mailing Fax Number 5403713753
Enumeration Date 2012-07-10
Last Update Date 2014-10-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers

Office Location

Street Address 600 JACKSON ST
City FREDERICKSBURG
State VA
Zip Code 22401-5719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1952360109 Frank D. Deforest Psychologist 600 Jackson St, Fredericksburg, VA 22401-5719 2006-03-17
1255938429 Kari L Gent Social Worker 600 Jackson St, Fredericksburg, VA 22401-5719 2020-10-01
1760093876 Sol L Redd-martin Social Worker 600 Jackson St, Fredericksburg, VA 22401-5719 2020-08-12
1497365241 Anna L Loftis Social Worker 600 Jackson St, Fredericksburg, VA 22401-5719 2020-08-06
1558996488 Francesca N Coello Palmisano Occupational Therapist 600 Jackson St, Fredericksburg, VA 22401-5719 2020-03-11
1346871829 Peggy L Mull-johnson Counselor 600 Jackson St, Fredericksburg, VA 22401-5719 2020-02-03
1548808504 Heather Renee Honaker Counselor 600 Jackson St, Fredericksburg, VA 22401-5719 2019-12-20
1811532211 Fernanda Regina Webster Counselor 600 Jackson St, Fredericksburg, VA 22401-5719 2019-11-10
1366085334 Caitlin M Riggins Social Worker 600 Jackson St, Fredericksburg, VA 22401-5719 2019-10-23
1811547425 Sarah Lynn Young Occupational Therapy Assistant 600 Jackson St, Fredericksburg, VA 22401-5719 2019-09-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992313415 Amanda Dodd Behavior Technician 1411 Princess Anne, Fredericksburg, VA 22401 2020-07-21
1215567326 Britteny Whitaker Behavior Technician 1411 Princess Ann, Fredericksburg, VA 22401 2020-01-17
1396389433 Ashley Stanevich Behavior Technician 1411 Princess Anne Lane, Fredericksburg, VA 22401 2019-11-01
1265074231 Anna Kelleher Behavior Technician 1411 Princess Anna St, Frericksburg, VA 22401 2019-10-11
1649824152 Zaan Z Ali Audiologist 1708 Fall Hill Ave Suite 100, Fredericksburg, VA 22401 2019-08-01
1790342426 Michael Williams Jr. Physician Assistant 411 B Park Hill Dr, Frederickburg, VA 22401 2019-05-29
1285290965 Ann Damalie Namabiro Behavior Technician 1411 Princess Ann Street, Fredericksburg, VA 22401 2019-05-17
1922579630 Primary and Urgent Care LLC Family Medicine Primary and Urgent Care LLC, 2306 Plank Road Ste 100, Fredericksburg, VA 22401 2018-12-07
1003323056 Mariah Mazzariello Behavior Technician 1411 Princess Anne Stree, Fredericksburg, VA 22401 2017-12-29
1336655281 Hina Zafar Behavior Technician 1411 Princess Anne St., Fredericksburg, VA 22401 2017-12-14
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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184777336 Daniel David O'loughlin Psychologist 311 W San Antonio St, Fredericksburg, TX 78624-3726 2007-01-19
1184714396 Mental Health Resources PC Psychologist 412 Chatham Square Office Park, Fredericksburg, VA 22405-2561 2006-10-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1154922342 Ashli Gregory Psychologist 10059 Craftons Gate Hwy, Drakes Branch, VA 23937-2647 2020-11-04
1750980421 Chad Olle Psychologist 1020 N Highland St Unit 817, Arlington, VA 22201-2187 2020-10-22
1205447935 Annalucia Bays Psychologist 6005 Fox Den, Williamsburg, VA 23188-7363 2020-08-15
1295356681 Lina Liw Psychologist 3915 Old Lee Hwy Ste 23a, Fairfax, VA 22030-2432 2020-04-27
1699301788 Harrisonburg Center for Healing LLC Psychologist 1041 Reservoir Street, Suite A, Harrisonburg, VA 22801 2020-03-20
1467003715 Kelly Deneen Heinzman Psychologist 1101 Wilson Blvd, Arlington, VA 22209-2211 2019-09-26
1740742345 James Partch Jr. Psychologist 705 Donnington Dr, Chesapeake, VA 23322-7715 2019-04-02
1437642527 Lauren Beam Ottenhoff Psychologist 133 Park St Ne Ste 3b, Vienna, VA 22180-4666 2018-06-13
1710491923 Saman Berenji Psychologist 15 Priscilla Rd, Unit 3, Boston, VA 02135-2019 2017-11-27
1770016461 Three Leaves Psychological Services LLC Psychologist 11307 Sunset Hills Rd, B-4, Reston, VA 20190-5278 2017-04-10
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Competitor

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City FREDERICKSBURG
Zip Code 22401

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Dataset Information

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.

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