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MEDITELECARE OF VIRGINIA LLC NPI 1851890321


NPI Information

NPI: 1851890321
Provider Name: MEDITELECARE OF VIRGINIA, LLC
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
4701 COX RD STE 285
GLEN ALLEN, VA
ZIP 23060
Phone: (860) 788-6404
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MEDITELECARE OF VIRGINIA, LLC is a clinical psychologist in Glen Allen, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. MEDITELECARE OF VIRGINIA, LLC NPI is 1851890321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4701 COX RD STE 285
GLEN ALLEN, VA
ZIP 23060-808
Phone: (860) 788-6404
Fax: (860) 829-0495

The provider's authorized official is Andrea Godfrey .
The authorized official title is Credent And Enrollment Manager and has the following contact phone number (860) 274-2418.

The enumeration date for this NPI number is 2/9/2018 and was last updated on 12/27/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1104100000XSocial WorkerNo
22084P0800XPsychiatry & NeurologyPsychiatryNo
32084P0805XPsychiatry & NeurologyGeriatric PsychiatryNo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
5103TC0700XPsychologistClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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