Roxanne Bayan Dzierzewski, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005033 Issued in VA

Practice address

1901 Huguenot Rd Ste 305
North Chesterfield, VA 23235

Phone

(804) 859-1966

NPI assigned

Sep 12, 2012

Last updated

Jun 5, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Roxanne Nona Bayan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528156800000",
    "number": "1568712065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 HUGUENOT RD STE 305",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354311",
            "telephone_number": "804-859-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 HUGUENOT RD STE 305",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "23235",
            "telephone_number": "804-859-1966"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1512 Willow Lawn Dr Ste 160",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232303117",
            "country_code": "US",
            "telephone_number": "804-859-1966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DZIERZEWSKI",
        "first_name": "ROXANNE",
        "middle_name": "BAYAN",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-12",
        "last_updated": "2018-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROXANNE",
            "last_name": "BAYAN",
            "middle_name": "NONA",
            "prefix": "DR.",
            "credential": "PSYD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Clinical Psychologist in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; 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.