John Joseph Gualtieri, PH.D., P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001429 Issued in VA

Legal business name

JOHN JOSEPH GUALTIERI, PH.D., P.C.

Practice address

1515 Chain Bridge Rd
Suite G14
MC Lean, VA 22101-4451

Phone

(703) 790-8111

Fax

(703) 356-1453

NPI assigned

Nov 5, 2010

Last updated

Nov 5, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Joseph Gualtieri, PH.D.NPI 1194868174

Title

Director

Phone

(703) 790-8111

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Joseph Gualtieri, PH. D.

  • Clinical Psychologist
  • McLean, VA
  • NPI 1194868174
  Authorized official Same address or phone
• Catherine C Whitledge, LCSW

  • Clinical Social Worker
  • McLean, VA
  • NPI 1609921808
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288915200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1366743460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CHAIN BRIDGE RD",
            "address_2": "SUITE G14",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014451",
            "telephone_number": "703-790-8111",
            "fax_number": "703-356-1453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 CHAIN BRIDGE RD",
            "address_2": "SUITE G14",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221014451",
            "telephone_number": "703-790-8111",
            "fax_number": "703-356-1453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN JOSEPH GUALTIERI, PH.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-05",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "GUALTIERI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "703-790-8111",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kim Jiramongkolchai, MD
• Salima Jiwa, LCSW
• Katherine Rose Johansen, PA-C
• John a. Schehl, DDS, PC (Dental Care of Alexandria & Mclean)
• John D. Payne, M.D. LTD.
• Johns Hopkins Community Physicians (JHCP - 6849 Old Dominion Dr Ste 300 - Provider Type: 20-Physician)
• Johns Hopkins University (JHU - 6849 Old Dominion Drive - Physician)
• Arlia Johnson
• Kathryn Anne Johnson, DPT
• Lauren B Johnson, PHD

• Clinical Psychologist in McLean, VA
• Providers in McLean, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.