EVOLUTION PSYCHOLOGICAL SERVICES, PC (NPI# 1679019608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679019608 |
| Entity Type | Organization |
| Organization Name | EVOLUTION PSYCHOLOGICAL SERVICES, PC |
| Practice Address |
13885 Hedgewood Dr Suite 349 Woodbridge VA 22193-7928 |
| Mailing Address |
2465 Donnington Ct Jeffersonton VA 22724-1730 |
| Practice Telephone | 7033177271 |
| Mailing Telephone | 5409377676 |
| Enumeration Date | 2017-01-14 |
| Last Update Date | 2017-01-14 |
| Authorized Official Name | REGINALD HENRY MCRAE (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7033177271 |
| Authorized Official Credential | PSYD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004799 | VA | Behavioral Health & Social Service Providers |
| Street Address |
13885 HEDGEWOOD DR SUITE 349 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22193-7928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215108048 | Cindy Nguyen | Dentist | 13885 Hedgewood Dr, Unit 101, Woodbridge, VA 22193-7928 | 2008-03-19 |
| 1720446099 | Christine Mai Dds of Woodbridge Inc | Dentist | 13885 Hedgewood Dr, Suite 209, Woodbridge, VA 22193-7928 | 2016-02-02 |
| 1417320771 | Alaina Mazer | Counselor | 13885 Hedgewood Dr, Suite 245, Woodbridge, VA 22193-7928 | 2015-11-09 |
| 1144656422 | Smile Dental Care PC | Dentist | 13885 Hedgewood Dr, Unit #101, Woodbridge, VA 22193-7928 | 2013-09-19 |
| 1952743494 | Susanne K Long | Psychologist | 13885 Hedgewood Dr, # 245, Woodbridge, VA 22193-7928 | 2013-07-25 |
| 1275898967 | Prestige Chiropractic, LLC | Chiropractor | 13885 Hedgewood Dr, Suite 333, Woodbridge, VA 22193-7928 | 2012-07-09 |
| 1528353455 | Karen Therese Wachs | Psychologist | 13885 Hedgewood Dr, #245, Woodbridge, VA 22193-7928 | 2011-06-20 |
| 1346547742 | Barbara Anne Purdy | Counselor | 13885 Hedgewood Dr, Suite 349, Woodbridge, VA 22193-7928 | 2011-02-21 |
| 1275838898 | Michael H. Borash, Lpc, P.C. & Associates | Counselor | 13885 Hedgewood Dr, Ste 349, Woodbridge, VA 22193-7928 | 2011-01-12 |
| 1407162068 | Lewis Hutchison Pauley | Chiropractor | 13885 Hedgewood Dr, Suite 333, Woodbridge, VA 22193-7928 | 2010-08-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083111702 | Bethiana Magallanes White | Speech-Language Pathologist | 14450 Brook Dr, Woodbridge, VA 22193 | 2018-04-09 |
| 1982111449 | Frances Davis | Social Worker | 4196 Merchant Plaza Apt 632, Woodbridge, VA 22193 | 2018-01-05 |
| 1427421627 | Woodbridge Therapy Group LLC | Counselor | 12721 Darby Brooke Ct., Suite 102, Woodbridge, VA 22193 | 2015-11-10 |
| 1972981090 | Lifeline Home Health Inc | Community/Behavioral Health | 4309 Kenwood Dr, Woodbridge, VA 22193 | 2015-05-08 |
| 1588056139 | Lifelong Good Health LLC | Clinic/Center | 5721 Rhode Isalnd Drive, Woodbridge, VA 22193 | 2015-02-19 |
| 1639560378 | Tara Devi Smith | Psychologist | 13855 Hedgewood Drive, #245, Woodbridge, VA 22193 | 2015-02-17 |
| 1710396114 | Allanna Harrison | Speech-Language Pathologist | 15792 Beau Ridge Dr., Woodbridge, VA 22193 | 2014-08-11 |
| 1659788909 | Lifelong Good Health | Clinic/Center | 5721 Rhode Island Dr, Woodbridge, VA 22193 | 2014-07-18 |
| 1952731960 | Corrieann Marie Avila | Social Worker | 12721 Darby Brooke Court, Suite 102, Woodbridge, VA 22193 | 2013-11-13 |
| 1972881019 | Ockhee Jung | Acupuncturist | 14174 Rizdon Ct, Woodbridge, VA 22193 | 2011-07-22 |
| Find all providers in zip 22193 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881128288 | Kathryn Janette Holloway | Psychologist | 3196 Rivanna Ct, Woodbridge, VA 22192-3373 | 2017-04-12 |
| 1922472943 | Katherine Snably | Psychologist | 4320 Prince William Pkwy, Suite 109, Woodbridge, VA 22192-8100 | 2015-11-16 |
| 1073921185 | Mccleary Psychological Services LLC | Psychologist | 13043 Qualls Ln, Woodbridge, VA 22193-4559 | 2014-08-01 |
| 1457407009 | Woodbridge Psychological Associates, P.C. | Psychologist | 2200 Opitz Blvd Ste 105b, Woodbridge, VA 22191-3342 | 2007-01-26 |
| 1578614681 | Sharon G Paley | Psychologist | 75 Country Club Dr, Woodbridge, CT 06525-2509 | 2007-01-15 |
| 1740388610 | Jason B Epstein | Psychologist | 13895 Hedgewood Dr Ste 313, Woodbridge, VA 22193-7927 | 2006-09-21 |
| 1053334409 | Reena Levine Seltzer | Psychologist | 5 Dickinson Dr, Woodbridge, CT 06525-1111 | 2006-07-26 |
| 1336708130 | Foundations Psychological Services, LLC | Psychologist | 3130 Golansky Blvd Ste 202, Woodbridge, VA 22192-4268 | 2019-06-06 |
| 1255845434 | Valerie Dominique Ward | Psychologist | 4320 Prince William Pkwy Ste 109, Woodbridge, VA 22192-8100 | 2017-11-26 |
| 1003325143 | Cynthia Michelle Telander | Psychologist | 18826 N Lower Sacramento Rd Ste C, Woodbridge, CA 95258-9290 | 2017-09-20 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22193 |
Please comment or provide details below to improve the information on EVOLUTION PSYCHOLOGICAL SERVICES, PC.
| 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.