Nancy Macconnachie, PH.D., Inc.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

00810001700 Issued in VA

Legal business name

NANCY MACCONNACHIE, PH.D., INC.

Practice address

5821 Staples Mill Rd
Richmond, VA 23228-5427

Phone

(804) 264-0966

Fax

(804) 264-1029

NPI assigned

May 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Nancy Macconnachie, PH.D.NPI 1386820470

Title

President

Phone

(804) 264-0966

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nancy Macconnachie, PH.D.

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1386820470
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1003869546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966",
            "fax_number": "804-264-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966",
            "fax_number": "804-264-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY MACCONNACHIE, PH.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "MACCONNACHIE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-264-0966",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "00810001700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH/SENTARA",
            "identifier": "080290",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007751338",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "177062",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitsuru Nakatsuka, M.D.
• Deepthi Nalluri
• Lori Mijong Nam, PHARM.D.
• Serge Patrick Nana-Sinkam, M.D.
• Elizabeth Taylor Nance, D.D.S.
• Abhishek Nandan, MD
• Bhavana Nangunuri, MD
• Nansen Dialysis, LLC (Glenside Dialysis)
• Jay L Napoleon, M.D.
• Sania Zehra Naqvi, DDS

• 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 Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.