David Israel, PHD

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

License

0810000634 Issued in VA

Practice address

2120 Staples Mill Rd
Ste 209
Richmond, VA 23230-2917

Phone

(804) 716-2629

NPI assigned

Aug 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Prakash G Ettigi MDPC

  dba Panic Anxiety and Depression center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richmond, VA
  • NPI 1699793711
  NPD (past)
• Early Autism Services, LLC

  • Behavior Analyst
  • Countryside, IL
  • NPI 1700130713
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1861404881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 STAPLES MILL RD",
            "address_2": "STE 209",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302917",
            "telephone_number": "804-288-1308",
            "fax_number": "804-288-1058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 STAPLES MILL RD",
            "address_2": "STE 209",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232302917",
            "telephone_number": "804-716-2629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VA",
            "license": "0810000634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7708271",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sonya Islam, MPH, RD
• Syed Monowarul Islam
• Media Ismael, M.D.
• Ahmad Mohamed Ismail, CRNA
• Vernon Scott Isner, O.D.
• Fatima Issa
• It's My Home
• Itnoa Healthcare Services LLC
• Rozana Itskovich, M.D.
• Unyime Sunday Ituk, MD

• Cognitive & Behavioral Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Cognitive & Behavioral Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.