V RENEE BURDETT (NPI# 1821168212) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821168212 |
| Entity Type | Individual |
| Full Name | V RENEE BURDETT |
| Credential | MD |
| Practice Address |
13649 Office Place Suite 102 Woodbridge VA 22192 |
| Practice Telephone | 7036705738 |
| Practice Fax Number | 7036708213 |
| Mailing Telephone | 7036705738 |
| Mailing Fax Number | 7036708213 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101046586 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101046586 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BC BS | 256399 | 01 |
| Street Address |
13649 OFFICE PLACE SUITE 102 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760540967 | Renee Burdett, Md PC | Psychiatry & Neurology | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-12-04 |
| 1528138914 | James J Crist | Psychologist | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1386714764 | Shawn P Emmons | Psychologist | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1235209628 | Evelyn L Flynn | Social Worker | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1578633962 | Betty O Graves | Social Worker | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| 1497825889 | Jennifer L Edge | Social Worker | 13649 Office Place, Suite 102, Woodbridge, VA 22192 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396060653 | Altahir Behavior Health Plc | Psychiatry & Neurology | 16451 Kramer Estate Dr, Woodbridge, VA 22191-0000 | 2010-03-30 |
| 1083854392 | Washington Behavioral Health, PC | Psychiatry & Neurology | 1954 Opitz Blvd, Unit 7, Woodbridge, VA 22191-3304 | 2009-02-26 |
| 1487786927 | Marshal Mandelkern | Psychiatry & Neurology | 1 Bradley Rd Ste 403, Woodbridge, CT 06525-2235 | 2007-03-11 |
| 1124170899 | Arnold J Jacques | Psychiatry & Neurology | 655 Amboy Avenue, Suite 306, Woodbridge, NJ 07095 | 2007-01-16 |
| 1063518793 | Swarnalatha Prasanna | Psychiatry & Neurology | 4893 Prince William Pkwy Ste 101a, Woodbridge, VA 22192-5404 | 2006-09-16 |
| 1477574549 | Husam K Alathari | Psychiatry & Neurology | 1954 Opitz Blvd # 7, Woodbridge, VA 22191-3304 | 2006-07-22 |
| 1578593497 | Harvey Lee Ruben | Psychiatry & Neurology | 270 Amity Rd, Suite 130, Woodbridge, CT 06525 | 2006-07-04 |
| 1306847199 | Julian Lieb | Psychiatry & Neurology | 22 Rimmon Rd, Woodbridge, CT 06525-2002 | 2005-08-03 |
| 1548739170 | Savida Health, PC | Psychiatry & Neurology | 4001 Prince William Pkwy Ste 300, Woodbridge, VA 22192-7667 | 2018-11-13 |
| 1861764896 | Washington Behavioral Health, PC | Psychiatry & Neurology | 1954 Opitz Blvd, Suite 007, Woodbridge, VA 22191-3304 | 2012-02-07 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on V RENEE BURDETT.
| 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.