1780337634 NPI number — DR. NATALIA BAEZ-POWELL PSY.D.

Table of content: CRAIG PHILIP CHICCHI PA-C (NPI 1790930071)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780337634 NPI number — DR. NATALIA BAEZ-POWELL PSY.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAEZ-POWELL
Provider First Name:
NATALIA
Provider Middle Name:
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
PSY.D.
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BAEZ
Provider Other First Name:
NATALIA
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
PSY.D.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1780337634
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/01/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 3713
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MERRIFIELD
Provider Business Mailing Address State Name:
VA
Provider Business Mailing Address Postal Code:
22116-3713
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
407-430-9410
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7611 LEE HWY APT 103
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FALLS CHURCH
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
22042-2849
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
407-430-9410
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/01/2022

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  0810007330 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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