THREE LEAVES PSYCHOLOGICAL SERVICES LLC (NPI# 1770016461) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770016461 |
| Entity Type | Organization |
| Organization Name | THREE LEAVES PSYCHOLOGICAL SERVICES LLC |
| Practice Address |
11307 Sunset Hills Rd B-4 Reston VA 20190-5278 |
| Mailing Address |
25996 Talamore Dr Chantilly VA 20152-1758 |
| Practice Telephone | 2133449008 |
| Mailing Telephone | 2133449008 |
| Enumeration Date | 2017-04-10 |
| Last Update Date | 2017-04-10 |
| Authorized Official Name | DR. EMILY DREILING (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 2133449008 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
0810005362 | VA | Behavioral Health & Social Service Providers |
| Street Address |
11307 SUNSET HILLS RD B-4 |
| City | RESTON |
| State | VA |
| Zip Code | 20190-5278 |
| 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 | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| 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 |
| 1306243373 | Samira Joron-badr | Psychologist | 307 Yoakum Pkwy Apt 1708, Alexandria, VA 22304-4044 | 2014-11-19 |
| Find all providers with the same taxonomy | ||||
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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.