John Christian Colletti, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810002516 Issued in VA

Practice address

9515 Catesby LN
Richmond, VA 23238-4453

Phone

(804) 741-7500

Fax

(804) 741-7900

NPI assigned

May 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 3

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 and National Provider Directory roles.

• Chapman Senior Care, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1669439691
  NPD (past) Authorized official

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361232000000",
    "number": "1003867557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9515 CATESBY LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384453",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9515 CATESBY LN",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232384453",
            "telephone_number": "804-741-7500",
            "fax_number": "804-741-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLETTI",
        "first_name": "JOHN",
        "middle_name": "CHRISTIAN",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007712588",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "291855",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "680001531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Colette Moussalli MD PC
• Mary L Colfer, MD
• Andrew Farish Colhoun, M.D.
• Collaborative Care Psychiatry, LLC
• Mackenzie Lake Colleton, DPT
• Amelia Holder Colley, M.D.
• Amanda Dickerson Collie, DDS
• Christopher James Collie, D.D.S.
• Carl Hampden Collier, LPC
• Hunter Collier, BCABA, LABA

• Clinical Psychologist in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; 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.