BETHANY CORLISS (NPI# 1831589233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831589233 |
| Entity Type | Individual |
| Full Name | BETHANY CORLISS |
| Credential | PHD |
| Practice Address |
14110 Robert Paris Ct Chantilly VA 20151-4205 |
| Mailing Address |
13945 Leeton Cir Chantilly VA 20151-2237 |
| Practice Telephone | 7033787998 |
| Mailing Telephone | 7038871807 |
| Enumeration Date | 2015-01-23 |
| Last Update Date | 2015-01-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
0810004470 | VA | Behavioral Health & Social Service Providers |
| Street Address |
14110 ROBERT PARIS CT |
| City | CHANTILLY |
| State | VA |
| Zip Code | 20151-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750581955 | Mindwell Psychology | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2007-07-25 |
| 1952791238 | Cherilyn Mcgee | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-26 |
| 1710377015 | Sabine Heisman | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-26 |
| 1386033751 | Anne Heflin | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-22 |
| 1225426760 | Kristi Guadagnoli | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-07 |
| 1164810719 | Michael S. Axler | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-06 |
| 1295123958 | Rachna Varia | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-05 |
| 1386959344 | Madhulika Gupta Boland | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2010-08-15 |
| 1710110424 | Lee Wong-holland | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023635695 | Sabah Home Care | Home Health | 4221 Walney Rd Suite 500 C, Chantilly, VA 20151 | 2020-06-30 |
| 1205485976 | Huang Wellness Center LLC | Acupuncturist | 14145 Robet Paris Ct, Chantilly, VA 20151 | 2019-09-05 |
| 1376032714 | Myeyedr Optometry of Virginia, Pllc | Optometrist | 14337 Newbrook Drive, Suite 400, Chantilly, VA 20151 | 2018-05-01 |
| 1013405950 | Chantilly Modern Dentistry, PC | Dentist | 14337 Newbrook Dr., Suite 200, Chantilly, VA 20151 | 2018-04-26 |
| 1972090389 | Wegmans Food Markets, Inc. | Pharmacy | 14361 Newbrook Dr., Chantilly, VA 20151 | 2018-04-20 |
| 1922526714 | Cynthia Anne Biggar | Specialist/Technologist | 13613 Bare Island Drive, Chantilly, VA 20151 | 2017-09-01 |
| 1497297717 | Rebekah Lee Hinders | Nurse Practitioner | 3914 Centrevill Rd, Suite 101, Chantilly, VA 20151 | 2016-11-17 |
| 1043761117 | Victoria Ranti Balogun | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-10-24 |
| 1619424694 | Erin Booker | Nurse Practitioner | Parke Long Court, Suite 201, Chantilly, VA 20151 | 2016-09-07 |
| 1326419078 | Amparo Emilia Kidd | Nurse Practitioner | 14121 Parke Long Court, Suite 201, Chantilly, VA 20151 | 2015-10-07 |
| Find all providers in zip 20151 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311873 | Rituma Patel | Psychologist | 14102 Sullyfield Cir Ste 350b, Chantilly, VA 20151-1610 | 2018-10-10 |
| 1255630711 | Joshua Mark Kefer | Psychologist | 4455 Brookfield Corporate Dr Ste 101, Chantilly, VA 20151-1670 | 2011-03-23 |
| 1962946301 | Danielle Rosnov-castelar, Ph.d., LLC | Psychologist | 14102 Sullyfield Cir, Suite 350b, Chantilly, VA 20151-1610 | 2016-12-05 |
| 1952791238 | Cherilyn Mcgee | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-26 |
| 1710377015 | Sabine Heisman | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-26 |
| 1386033751 | Anne Heflin | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-22 |
| 1225426760 | Kristi Guadagnoli | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2015-01-07 |
| 1386959344 | Madhulika Gupta Boland | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2010-08-15 |
| 1710110424 | Lee Wong-holland | Psychologist | 14110 Robert Paris Ct, Chantilly, VA 20151-4205 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593603 | Tina Tehrani Nawaz | Psychologist | 23909 Heather Meadow Dr, Ashburn, VA 20148-1767 | 2020-09-16 |
| 1942813720 | David Rothman | Psychologist | 2000 Wilkes Drive, Richomd, VA 23233 | 2020-08-31 |
| 1174135917 | Elizabeth Dehart Richardson | Psychologist | 3023 Arrowhead Rd, Rockingham, VA 22801-8682 | 2020-08-22 |
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1881204097 | Maria Elena Burke | Psychologist | 108 Colonels Way, Williamsburg, VA 23185-5105 | 2020-08-03 |
| 1699385013 | Celeste Macdonald Kelly | Psychologist | 250 Wylderose Cmns, Midlothian, VA 23113-6883 | 2020-08-01 |
| 1811515794 | Thomas Craig Foster Jr. | Psychologist | 115 Bulifants Blvd Ste A, Williamsburg, VA 23188-5720 | 2020-07-08 |
| 1225655012 | Drew Taylor Bassett | Psychologist | 1970 Roanoke Blvd # 116b1, Salem, VA 24153-6404 | 2020-06-29 |
| 1851917843 | Nathaniel Andrew | Psychologist | 3112 Honeywood Ln Apt E, Roanoke, VA 24018-8853 | 2020-06-25 |
| 1548886674 | Anita L Boss | Psychologist | 1200 Prince St, Alexandria, VA 22314-2936 | 2020-06-24 |
| 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.