DR. DAVID P FAGO (NPI# 1659495885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659495885 |
| Entity Type | Individual |
| Full Name | DR. DAVID P FAGO |
| Credential | PH.D. |
| Practice Address |
7307 Baltimore Ave Suite 208 College Park MD 20740-3231 |
| Mailing Address |
920 Independence Ave Se Washington DC 20003-3918 |
| Practice Telephone | 3012773250 |
| Practice Fax Number | 3019278052 |
| Mailing Telephone | 2024418823 |
| Mailing Fax Number | 3019278052 |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2012-01-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | 1000523 | DC | Behavioral Health & Social Service Providers |
| Y | 103T00000X | Psychologist | 01730 | MD | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
1000523 | DC | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
01730 | MD | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
01730 | MD | Behavioral Health & Social Service Providers |
| N | 103TF0000X |
Psychologist Specialization: Family |
1000523 | DC | Behavioral Health & Social Service Providers |
| Street Address |
7307 BALTIMORE AVE SUITE 208 |
| City | COLLEGE PARK |
| State | MD |
| Zip Code | 20740-3231 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841280906 | Daniel Jay Lane | Dentist | 7307 Baltimore Ave, Ste 113, College Park, MD 20740-3231 | 2005-10-28 |
| 1790132397 | Jeremy Brown | Counselor | 7307 Baltimore Ave, Suite 109, College Park, MD 20740-3231 | 2016-05-24 |
| 1124204854 | Maryland Institute for Individual & Family Therapy | Psychologist | 7307 Baltimore Ave, Suite 208, College Park, MD 20740-3231 | 2008-01-11 |
| 1578769873 | Rudolph Gawlik | Social Worker | 7307 Baltimore Ave, Suite 208, College Park, MD 20740-3231 | 2007-06-23 |
| 1770603441 | Linda Elaine Bessett | Psychologist | 7307 Baltimore Ave, Suite 208, College Park, MD 20740-3231 | 2007-03-29 |
| 1760501233 | Expert Smiles, Inc | Dentist | 7307 Baltimore Ave, Suite 114, College Park, MD 20740-3231 | 2007-03-28 |
| 1710006267 | Malinda Jean Dice-shah | Dentist | 7307 Baltimore Ave, Suite 114, College Park, MD 20740-3231 | 2007-03-28 |
| 1972528735 | Year-kwon H Yoon | Internal Medicine | 7307 Baltimore Ave, Suite 111, College Park, MD 20740 | 2006-07-13 |
| 1861425407 | Beth Ann Charbonneau | Social Worker | 7307 Baltimore Ave, Suite 208, College Park, MD 20740-3231 | 2006-07-08 |
| 1548215650 | Vibhakar J Mody | Obstetrics & Gynecology | 7307 Baltimore Ave, 212, College Park, MD 20740-3231 | 2006-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147633 | S.a.f.e. Counseling Services LLC | Counselor | 6210 Greenbelt Road, L 4, Berwyn Heights, MD 20740 | 2020-02-23 |
| 1326528621 | Ryan Rehabilitation LLC | Counselor | 7100 Baltimore Ave Ste 105, College Park, MD 20740 | 2018-08-16 |
| 1760981120 | L. Jones-dove & Associates Tooth Spa LLC | Dentist | 6103 Greenbelt Road, College Park, MD 20740 | 2018-02-12 |
| 1538682257 | Heather Gambacorto | Behavior Technician | 3525 Marlbrough Way, College Park, MD 20740 | 2017-07-25 |
| 1841722691 | Bradley Weitzel | Specialist/Technologist | 4068 Field House Drive, College Park, MD 20740 | 2017-03-31 |
| 1083152284 | Kabrima Y Petty | Nurse Practitioner | 10201 Baltimore Ave Apt 5102, College Park, MD 20740 | 2017-02-08 |
| 1659728517 | Brownstone Project In Md | Community/Behavioral Health | 6201 Greenbelt Rd Ste M6, Berwyn Heights, MD 20740 | 2016-05-20 |
| 1114371093 | Thomas Lowell Bennett | Specialist/Technologist | 7675 Baltimore Ave, R 0100, College Park, MD 20740 | 2016-04-18 |
| 1306226808 | Linda Ronma Williams | Nurse Practitioner | 4701 Melbourne Place, College Park, MD 20740 | 2015-06-01 |
| 1124427927 | Sarah Elizabeth Woerner | Pharmacist | 7300 Baltimore Boulevard, College Park, MD 20740 | 2014-08-18 |
| Find all providers in zip 20740 | ||||
| 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 |
|---|---|---|---|---|
| 1609317650 | Rashanta Aneisha Bledman | Psychologist | 4281 Chapel Ln, 1216 Shoemaker Building, College Park, MD 20742-0001 | 2017-03-10 |
| 1750740999 | Meaghan Doyle | Psychologist | 7400 Radcliffe Dr, College Park, MD 20740-3026 | 2016-02-16 |
| 1538503016 | Cixin Wang | Psychologist | 3234 Benjamin Building University of Maryland, College Park, MD 20742-1832 | 2013-04-26 |
| 1912166604 | Joy J Reeves | Psychologist | 5737 Old National Hwy Ste 400, College Park, GA 30349-3865 | 2008-06-06 |
| 1023212594 | Pepper Ellen Phillips | Psychologist | 1122 Shoemaker Bldg, University of Maryland, College Park, MD 20742-8101 | 2007-06-11 |
| 1225126089 | Psychotherapy Services Management, Inc. | Psychologist | 2900 Camp Creek Pkwy, K-1, College Park, GA 30337-3000 | 2006-10-10 |
| 1093812992 | Lynda Renee Smith | Psychologist | 2227 Godby Road, Suite #207, College Park, GA 30349-5019 | 2006-09-20 |
| 1952405565 | Mary Colleen Byrne | Psychologist | Psychology Clinic, 2114 Biology-psychology Building, College Park, MD 20742-0001 | 2006-09-12 |
| 1558640847 | Vuyo Mpumlwana | Psychologist | 1897 Godby Rd, College Park, GA 30349-5235 | 2011-08-04 |
| 1841513744 | Institute for Life Enrichment | Psychologist | 6201 Greenbelt Road, M7, College Park, MD 20740-0000 | 2010-03-05 |
| Find all providers in COLLEGE PARK | ||||
| City | COLLEGE PARK |
| Zip Code | 20740 |
Please comment or provide details below to improve the information on DR. DAVID P FAGO.
| 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.