Individual provider Active NPI

Cline Richard Munsey Jr.

  • School Psychologist
  • Hillsville, VA
National Provider Identifier
1063915106
Registry record updated Mar 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
PGP-186309 Issued in VA
Practice address
605 Pine St Ste 9
Hillsville, VA 24343-1463
Phone
(276) 730-3200
NPI assigned
Mar 15, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813000304 VA
School Psychologist 103TS0200X PGP-186309 VA Primary

Addresses

Primary practice location

605 Pine St Ste 9
Hillsville, VA 24343-1463

Mailing address

605 Pine St Ste 9
Hillsville, VA 24343-1463
Phone (276) 730-3200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0813000304VAMDSchool Psychologist
PGP-186309VAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1521072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521072000000",
    "number": "1063915106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 PINE ST STE 9",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431463",
            "telephone_number": "276-730-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 PINE ST STE 9",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243431463",
            "telephone_number": "276-730-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNSEY",
        "first_name": "CLINE",
        "middle_name": "RICHARD",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-15",
        "last_updated": "2018-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000304",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "PGP-186309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; 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.