Vanessa Carmen Irizarry, PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810002118 Issued in VA

Practice address

3340 Woodburn Rd
Annandale, VA 22003-1202

Phone

(703) 207-7782

NPI assigned

Aug 21, 2006

Last updated

Jul 8, 2007By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fairfax County, Virginia

  dba Fairfax-Falls Church Community Services Board

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfax, VA
  • NPI 1154356244
  NPD (past)

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821104043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 WOODBURN ROAD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031298",
            "telephone_number": "703-207-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3340 WOODBURN RD",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "220031202",
            "telephone_number": "703-207-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRIZARRY",
        "first_name": "VANESSA",
        "middle_name": "CARMEN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810002118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Internal Medicine Practice for Weight Loss and Smokers PC
• International Natura Clinic Center LLC
• Iqra Express Transportation LLC
• Iqra Home Health Care LLC
• Iris Eyecare PC
• Lindsey Louise Ishler, CCC-SLP
• J Christopher Durr LLC
• J. Daniel Labriola DDS and David J Cantor DMD PC (Northern Virginia Oral and Maxillofacial Surgery Associates)
• Pharrodah Jackson, LPN
• Rochelle P Jackson, M.D.

• Psychologist in Annandale, VA
• Providers in Annandale, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.