Colleen Varga, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

25592 Issued in CA

Practice address

2480 Llewellyn Ave
Usameddac
Fort Meade, MD 20755-5930

Phone

(202) 744-3645

NPI assigned

Nov 18, 2011

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1811264864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "address_2": "USAMEDDAC",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207557081",
            "telephone_number": "202-744-3645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "address_2": "USAMEDDAC",
            "city": "FORT MEADE",
            "state": "MD",
            "postal_code": "207555930",
            "telephone_number": "202-744-3645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGA",
        "first_name": "COLLEEN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "25592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimmie J Tolvert, RN
• Joan D. Twigg, RN, BS, OHN
• Erica Underdown
• Marian G Upton, LPC, CRC, CCDC
• Usv Optical Inc.
• James Marion Veazey Jr., M.D.
• Carolyn Volpe
• Amanda R Webb, PHD
• Kevin Garrett White, LMFT
• Joshua Craig Willens, DMD

• Clinical Psychologist in Fort Meade, MD
• Providers in Fort Meade, MD by specialty
• Clinical Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; 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.