Ronald Christopher Qualls, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001879 Issued in VA

Practice address

1204 N Main St
Marion, VA 24354-4312

Phone

(276) 783-2511

Fax

(276) 783-2532

NPI assigned

Apr 11, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Highlands Pediatrics

  • Pediatrics Physician
  • Abingdon, VA
  • NPI 1427359090
  NPD (past)
• Mountainview Pediatrics, P.C.

  • Pediatrics Physician
  • Marion, VA
  • NPI 1528070216
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1053534776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544312",
            "telephone_number": "276-783-2511",
            "fax_number": "276-783-2532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544312",
            "telephone_number": "276-783-2511",
            "fax_number": "276-783-2532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26210 Lee Hwy",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117504",
            "country_code": "US",
            "telephone_number": "276-623-8100",
            "fax_number": "276-623-8126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "770 W Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Wytheville",
            "state": "VA",
            "postal_code": "243821187",
            "country_code": "US",
            "telephone_number": "276-223-3200",
            "fax_number": "276-223-3250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUALLS",
        "first_name": "RONALD",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-11",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004945298",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "176859",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Pollard, CRNA
• Angela Don Prater, LCSW
• Adam Robert Pugh, DPT, L/ATC
• Pure Life Counseling and Testing
• Py Medical Services of TN PC
• R&P Investment Corporation
• Ralph a. Parks,M.D.P.C.
• Ashley Ramirez, PMHNP-BC
• Cameron M Ratcliff, PA
• David Ratcliff, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; 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.