APPLIED NEUROPSYCHOLOGICAL SERVICES, P.C. (NPI# 1730525205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730525205 |
| Entity Type | Organization |
| Organization Name | APPLIED NEUROPSYCHOLOGICAL SERVICES, P.C. |
| Practice Address |
11130 Fairfax Blvd. Suite 200 Fairfax VA 22030-5017 |
| Mailing Address |
Po Box 640 Centreville VA 20122-0640 |
| Practice Telephone | 7038795130 |
| Practice Fax Number | 7036353681 |
| Mailing Telephone | 7038795130 |
| Enumeration Date | 2013-05-10 |
| Last Update Date | 2020-09-06 |
| Authorized Official Name | DR. MERCEDES HELENA ALFARO (OWNER) |
| Authorized Official Telephone | 7038795130 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810003332 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11166 Fairfax Blvd, Suite 402, Fairfax, VA 220305017 | 7038795130 |
| Street Address |
11130 FAIRFAX BLVD. SUITE 200 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-5017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861008492 | Nicole N Hashemian | Clinical Neuropsychologist | 3040 Williams Dr Ste 402, Fairfax, VA 22031-4618 | 2020-09-18 |
| 1447877527 | Sabrina Kate Jennings | Clinical Neuropsychologist | 8100 Innovation Park Dr, Fairfax, VA 22031-4870 | 2020-07-06 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
| 1194804914 | Barry B Ekdom Phd | Clinical Neuropsychologist | 3040 Williams Dr, Suite 402, Fairfax, VA 22031-4618 | 2006-11-03 |
| 1801903000 | Cynthia Luck Sullivan | Clinical Neuropsychologist | 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 | 2006-08-24 |
| 1922651454 | Joanna Luzzi | Clinical Neuropsychologist | 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 | 2019-07-23 |
| 1548715154 | Melissa Nicole Womble | Clinical Neuropsychologist | 8501 Arlington Blvd, Fairfax, VA 22031-4617 | 2016-08-24 |
| 1518259985 | Neuropsychology Associates of Fairfax | Clinical Neuropsychologist | 3020 Hamaker Ct Ste 103, Fairfax, VA 22031-2220 | 2011-05-04 |
| 1598085722 | Applied Neuropsychological Services PC | Clinical Neuropsychologist | 3930 Pender Dr, Suite 320, Fairfax, VA 22030-0985 | 2010-06-10 |
| Find all providers in FAIRFAX | ||||
Please comment or provide details below to improve the information on APPLIED NEUROPSYCHOLOGICAL SERVICES, P.C..
| 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.