Dr Bita Kianimanesh, PSYD - Psychologist in Lake Ridge, VA

Dr Bita Kianimanesh, PSYD is a Psychologist - Clinical based in Lake Ridge, Virginia. Dr Bita Kianimanesh is licensed to practice in Virginia (license number 0810004039) and her current practice location is 2239f Tacketts Mill Dr, Lake Ridge, Virginia. She can be reached at her office (for appointments etc.) via phone at (703) 490-0336.

NPI number for Dr Bita Kianimanesh is 1033369186 and her current mailing address is 2239f Tacketts Mill Dr, Lake Ridge, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1033369186.

Contact Information

Dr Bita Kianimanesh, PSYD
2239f Tacketts Mill Dr,
Lake Ridge, VA 22192-3026
(703) 490-0336
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Bita Kianimanesh
GenderFemale
SpecialityPsychologist - Clinical
Location2239f Tacketts Mill Dr, Lake Ridge, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1033369186
  • Provider Enumeration Date: 09/25/2008
  • Last Update Date: 07/09/2009

Medical Identifiers

Medical identifiers for Dr Bita Kianimanesh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033369186NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY 7802 (Florida)Secondary
103TC0700XPsychologist - Clinical 0810004039 (Virginia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Bita Kianimanesh is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Bita Kianimanesh, PSYD
2239f Tacketts Mill Dr,
Lake Ridge, VA 22192-3026

Ph: (703) 490-0336
Dr Bita Kianimanesh, PSYD
2239f Tacketts Mill Dr,
Lake Ridge, VA 22192-3026

Ph: (703) 490-0336

Reviews and Comments


Psychologist in Lake Ridge, VA

Donna L Price, LPC
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192
Phone: 703-490-0336    Fax: 703-490-4525
Kimberly Strand, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192
Phone: 703-490-0336    Fax: 703-490-4525
Stephanie Fellenberg, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2239f Tacketts Mill Dr, Psychological & Life Skills Assoc Pc, Lake Ridge, VA 22192
Phone: 703-490-0336    Fax: 703-490-4525
Matthew Stuart Broudy, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2239f Tacketts Mill Drive, Lake Ridge, VA 22192
Phone: 703-490-0336    Fax: 703-490-4525
Dr. Karen Deabbe Bagley, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 2227 Old Bridge Rd Ste 170, Lake Ridge, VA 22192
Phone: 571-412-3500    Fax: 571-412-3600

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