KYLE JACOB MAZIARSKI (NPI# 1851948830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851948830 |
| Entity Type | Individual |
| Full Name | KYLE JACOB MAZIARSKI |
| Credential | ED.S. |
| Practice Address |
100 Panther Dr Fredericksburg VA 22406-7473 |
| Mailing Address |
10729 Wakeman Dr Fredericksburg VA 22407-7756 |
| Practice Telephone | 5403730383 |
| Mailing Telephone | 5408090972 |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Duffey Dr, Stafford, VA 225568034 | 5406586464 | |
| 31 Stafford Ave, Stafford, VA 225547246 | 5406586000 |
| Street Address |
100 PANTHER DR |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22406-7473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964599 | Mary Washington Healthcare Clinical Services Inc | Clinic/Center | 10 Stafford Lakes Pkwy, Suite 100, Fredericksburg, VA 22406 | 2020-02-14 |
| 1003446402 | Mwhc Urgent Care LLC | Clinic/Center | 10 Stafford Lakes Parkway, Stafford, VA 22406 | 2020-01-24 |
| 1033629142 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 127 Litchfield Blvd, Fredericksburg, VA 22406 | 2017-10-03 |
| 1689110090 | Billiejo Yeater | Occupational Therapy Assistant | 60 Brimley Drive, Fredericksburg, VA 22406 | 2017-01-09 |
| 1285010090 | Dana Hitt | Behavioral Analyst | 492 Cropp Rd., Fredericksburg, VA 22406 | 2015-08-04 |
| 1669774147 | Jason Todd Derting | Physical Therapy Assistant | 140 Brimley Road, Fredericksburg, VA 22406 | 2010-12-03 |
| 1891019733 | Stafford Healthcare Group, Inc. | Skilled Nursing Facility | 140 Brimley Drive, Fredericksburg, VA 22406 | 2010-03-22 |
| 1689900623 | Joseph Glenn Hoe | Radiologic Technologist | 754 Warrenton Road, Suite 113, Fredericksburg, VA 22406 | 2009-10-27 |
| 1801080932 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 53 Stanstead Rd, Fredericksburg, VA 22406 | 2007-08-31 |
| 1285763193 | Leslie Elaine White | Pharmacist | 1095 International Parkway, Rite Aid Pharmacy, Fredericksburg, VA 22406 | 2007-03-05 |
| Find all providers in zip 22406 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851946941 | Danielle Brien | Psychologist | 20 Pendleton Rd, Fredericksburg, VA 22405-3041 | 2019-08-06 |
| 1477041226 | Jennifer Gilbert | Psychologist | 63 Stafford Indians Ln, Fredericksburg, VA 22405-5803 | 2018-04-27 |
| 1760723670 | Bassel Fouad Helmi | Psychologist | 4510 Plank Rd Ste 100, Elite Academy, Fredericksburg, VA 22407-0138 | 2013-03-04 |
| 1144581810 | Wendy Carannante & Associates, Pllc | Psychologist | 800 Westwood Office Park, Fredericksburg, VA 22401-5121 | 2012-05-30 |
| 1962701730 | Wendy Tatum | Psychologist | 503 Sophia St, Fredericksburg, VA 22401-6075 | 2011-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299461 | Shelly Liaros | Psychologist | 405 Grafton Dr, Yorktown, VA 23692-2155 | 2020-09-10 |
| 1609480953 | Laura Taylor | Psychologist | 8270 Willow Oaks Corporate Dr Ste 3014, Fairfax, VA 22031-4530 | 2020-09-03 |
| 1346853165 | Laura Meghan O'malley | Psychologist | 300 Apollo Ave, Danville, VA 24540-4227 | 2020-08-31 |
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1922611169 | Caroline Faith Dewerd | Psychologist | 4638 Battenburg Ln, Fairfax, VA 22030-6267 | 2020-08-27 |
| 1205467891 | Jennifer Molepske | Psychologist | 430 E Shirley Ave Ste B2, Warrenton, VA 20186-3725 | 2020-01-31 |
| 1811538077 | Brittany Lee Gill | Psychologist | 3005 Clarke Dr, Virginia Beach, VA 23456-7919 | 2019-09-30 |
| 1467002915 | Michelyn Cynthia Kemp | Psychologist | 4656 Noland Blvd, Williamsburg, VA 23188-7587 | 2019-09-17 |
| 1093361024 | Alexis Rae Carson | Psychologist | 84 Dr Lorraine C. Turner Dr. Russell County Public Scho, Lebanon, VA 24266 | 2019-08-15 |
| 1265088538 | Hugh Love Wade IIi | Psychologist | 2055 Courthouse Road, Mnes/ School Psyc. Office, Louisa, VA 23093 | 2019-08-13 |
| Find all providers with the same taxonomy | ||||
| City | FREDERICKSBURG |
| Zip Code | 22406 |
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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.