Individual provider Active NPI

Latasha Leigh Nadasdi, PSY.D.

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1013434497
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810005791 Issued in VA
Practice address
223 W Main St Ste F
Charlottesville, VA 22902-5071
Phone
(434) 270-0892
NPI assigned
Aug 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810005791 VA Primary

Addresses

Primary practice location

223 W Main St Ste F
Charlottesville, VA 22902-5071

Mailing address

223 W Main St Ste F
Charlottesville, VA 22902-5071
Phone (434) 270-0892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926001151 VA Practitioner - Clinical Psychologist 8426599762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 W Main St
Suite 206
Charlottesville, VA 22903-4582
Phone (434) 270-0892

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810005791VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Charlottesville Empowerment: Counseling and Wellness Services Clinical CurrentSince Jul 4, 2024 Accepting new patients

Locations

223 W Main St
Ste F
Charlottesville, VA 22902
Phone (434) 270-0892

801 W Main St
Ste 206
Charlottesville, VA 22903
Phone (434) 270-0892

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1503619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013434497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST STE F",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025071",
            "telephone_number": "434-270-0892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W MAIN ST STE F",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025071",
            "telephone_number": "434-270-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADASDI",
        "first_name": "LATASHA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.