DR. PAUL FEDIO (NPI# 1821193905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821193905 |
| Entity Type | Individual |
| Full Name | DR. PAUL FEDIO |
| Credential | PH.D. |
| Practice Address |
8996 Burke Lake Road Suite 100 Burke VA 22051-1946 |
| Mailing Address |
9408 Raintree Rd Burke VA 22015-1946 |
| Practice Telephone | 7039789781 |
| Mailing Telephone | 7034267246 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2010-06-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 0810002714 | VA | Behavioral Health & Social Service Providers |
| Street Address |
8996 BURKE LAKE ROAD SUITE 100 |
| City | BURKE |
| State | VA |
| Zip Code | 22051-1946 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841209814 | Steven S Dejulio | Psychologist | 8996 Burke Lake Road, Suite 300, Burke, VA 22015 | 2006-08-07 |
| 1578092961 | Stephanie Ashton | Massage Therapist | 8996 Burke Lake Road, Suite 104, Burke Lake, Va 22015, Burke, VA 22015 | 2017-06-08 |
| 1629381793 | Alison Ann Fedio | Clinical Neuropsychologist | 8996 Burke Lake Road, Suite 100, Burke, VA 22015-1946 | 2010-07-19 |
| 1902991102 | Sue Ann Lewine | Chiropractor | 8996 Burke Lake Road, Suite L105, Burke, VA 22015 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972715746 | Mohamed Farid Ramadan | Physical Therapist | 5501 Backlick Road, Alliance Rehab & Physical Therapy, Springfield, VA 22051 | 2007-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710588454 | Eleanor Duelley | Nutritionist | 10007 Georgian Woods Ct, Burke, VA 22015-2745 | 2020-11-07 |
| 1558974105 | Crystal Hermano | Nurse Practitioner | 5522 Swift Current Ct, Burke, VA 22015-1851 | 2020-08-24 |
| 1861004491 | Independent Living Home Care L. L.c. | In Home Supportive Care | 6115 Mantle Rd, Burke, VA 22015-3807 | 2020-08-17 |
| 1588273700 | Alex Mcmillan Iv Dds PC | Dentist | 6035 Burke Centre Pkwy Ste 330, Burke, VA 22015-3750 | 2020-07-23 |
| 1174140529 | Esther Chung | Nurse Practitioner | 9806 Gabon Ct, Burke, VA 22015-3111 | 2020-07-01 |
| 1134745292 | Gladys Andrade Ynca | Behavior Technician | 5823 Cove Landing Rd Apt 301, Burke, VA 22015-2698 | 2020-06-24 |
| 1275156572 | Herbert T Nguyen | Pharmacy | 5100 Harford Ln, Burke, VA 22015-1510 | 2020-05-20 |
| 1003438110 | Lesley Lynn Holmes | Social Worker | 841 S Jackson St Suite C, Burke, SD 57533 | 2020-05-12 |
| 1194347393 | Alaina Wuerfel | Student in an Organized Health Care Education/Training Program | 5814 New England Woods Dr, Burke, VA 22015-2907 | 2020-05-11 |
| 1790306934 | Serenity Residential Servicess, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 6225 Wilmington Dr, Burke, VA 22015-3828 | 2020-04-28 |
| Find all providers in BURKE | ||||
| 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 |
|---|---|---|---|---|
| 1750698239 | Neuropsychology At Burke, LLC | Clinical Neuropsychologist | 9408 Raintree Rd, Burke, VA 22015-1946 | 2010-09-07 |
| 1356509616 | John David Wasserman | Clinical Neuropsychologist | 9006a Crownwood Ct, Burke, VA 22015-1630 | 2008-05-23 |
| 1629381793 | Alison Ann Fedio | Clinical Neuropsychologist | 8996 Burke Lake Road, Suite 100, Burke, VA 22015-1946 | 2010-07-19 |
| 1033271507 | Sarah Jane Elpern | Clinical Neuropsychologist | 5244 Lyngate Ct, Suite 200, Burke, VA 22015-1631 | 2006-12-14 |
| 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 |
| 1831710755 | Reston Precision Neuropsychology LLC | Clinical Neuropsychologist | 441-d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2020-05-01 |
| 1841848504 | Dr Vivian Begali Lcp Facpn Abn Abpp LLC | Clinical Neuropsychologist | 9327 Midlothian Tpke Ste 1c, North Chesterfield, VA 23235-4965 | 2019-08-27 |
| 1528527140 | Natalia Lugina Mauranne | Clinical Neuropsychologist | 441d Carlisle Dr., Suite 103, Herndon, VA 20170-4802 | 2019-03-13 |
| 1518434604 | Jessica Isabel Alva | Clinical Neuropsychologist | 12735 Inverness Way, Woodbridge, VA 22192-5038 | 2018-10-27 |
| 1447746383 | Hilary Caroline Goetz | Clinical Neuropsychologist | 8505 Arlington Blvd Ste 450, Fairfax, VA 22031-4630 | 2018-07-03 |
| 1851801708 | William David Crews Jr. | Clinical Neuropsychologist | 118 Dreaming Creek Dr, Lynchburg, VA 24502-2735 | 2017-10-05 |
| 1306360425 | Nacmed | Clinical Neuropsychologist | 90 Chatham Heights Rd, Fredericksburg, VA 22405-2566 | 2017-07-31 |
| 1003330408 | Cognitive Consults and Technology LLC | Clinical Neuropsychologist | 3020 Hamaker Court, Suite 103, Neuropsychology Associates of Fairfax, Fairfax, VA 22031 | 2017-07-28 |
| 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.