Child & Family Healing House

Primary specialty

Clinical Child & Adolescent PsychologistTaxonomy code 103TC2200X

License

0810002152 Issued in VA

Legal business name

CHILD & FAMILY HEALING HOUSE

Practice address

14688 Nina CT
Waterford, VA 20197-1635

Phone

(703) 999-4844

NPI assigned

Jun 7, 2007

Last updated

Aug 22, 2020By 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

Dr. Holiday Rondeau, PSY.D.

Title

President

Phone

(703) 999-4844

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790988715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14688 NINA CT",
            "city": "WATERFORD",
            "state": "VA",
            "postal_code": "201971635",
            "telephone_number": "703-999-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14688 NINA CT",
            "city": "WATERFORD",
            "state": "VA",
            "postal_code": "201971635",
            "telephone_number": "703-999-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD & FAMILY HEALING HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RONDEAU",
        "authorized_official_first_name": "HOLIDAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-999-4844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "VA",
            "license": "0810002152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Child & Adolescent Psychologist in Waterford, VA
• Providers in Waterford, VA by specialty
• Clinical Child & Adolescent Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.