SW VA Psychological Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0810002165 Issued in VA

Legal business name

SW VA PSYCHOLOGICAL SERVICES

Practice address

361B Falls Dr NW
Abingdon, VA 24210-8093

Phone

(276) 628-5752

Fax

(276) 628-5190

NPI assigned

Sep 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. John Wallace Ludgate, PH.DNPI 1871564872

Title

President

Phone

(276) 628-5752

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• John W Ludgate, PH.D.

  • Clinical Psychologist
  • Asheville, NC
  • NPI 1871564872
  NPD (past) Authorized official

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1063662229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 245",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242120245",
            "telephone_number": "276-628-5752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361B FALLS DR NW",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242108093",
            "telephone_number": "276-628-5752",
            "fax_number": "276-628-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SW VA PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "LUDGATE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "WALLACE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "276-628-5752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0810002165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007703171",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wendy Replogle Strawbridge, M.D.
• Supportive Solutions and Psychotherapy Services, LLC
• Clinton Hale Sutherland, MD
• Krista Sutherland, LPC
• Thomas G Sutton, MD
• Jonathan Trego Swank, MD
• Sweet Starts Pediatric Therapy, PLLC
• Maria N Swiney
• Jalen Connor Sykes, DDS
• Matthew J Sykes, ANP

• Mental Health Counselor in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.