Individual provider Active NPI

Miriam Wendy Giotta, M.A.

  • School Psychologist
  • Manassas, VA
National Provider Identifier
1396399267
Registry record updated Aug 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0813000583 Issued in VA
Practice address
8700 Centreville Rd # 400
Manassas, VA 20110-8430
Phone
(571) 377-6779
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813000583 VA Primary
School Psychologist 103TS0200X

Addresses

Primary practice location

8700 Centreville Rd # 400
Manassas, VA 20110-8430

Mailing address

8700 Centreville Rd # 400
Manassas, VA 20110-8430
Phone (571) 377-6779

Other names 1

  • Miriam Wendy Schonfeld Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
0813000583VAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1396399267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8700 CENTREVILLE RD # 400",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108430",
            "telephone_number": "571-377-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8700 CENTREVILLE RD # 400",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201108430",
            "telephone_number": "571-377-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIOTTA",
        "first_name": "MIRIAM",
        "middle_name": "WENDY",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000583",
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "SCHONFELD",
            "middle_name": "WENDY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manassas, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.