Individual provider Active NPI

Virginia Catherine Persinger, PSYD

  • Clinical Neuropsychologist
  • Tallahassee, FL
National Provider Identifier
1073093894
Registry record updated Oct 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
PY11648 Issued in FL
Practice address
1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640
Phone
(850) 431-5001
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X PY11648 FL Primary

Addresses

Primary practice location

1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640

Mailing address

1401 Centerville Rd Ste 504
Tallahassee, FL 32308-4640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181212000311 MS Practitioner - Clinical Psychologist 6002150455 Reassigns benefits to 1 organization
I20221012001891 FL Practitioner - Clinical Psychologist 6002150455 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1401 Centerville Rd
Suite 504
Tallahassee, FL 32308-4640
Phone (850) 431-5037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. CurrentSince Aug 18, 2018 Accepting new patients
Tallahassee Memorial Healthcare Inc Current Accepting new patients
Ms Methodist Hospital & Rehabilitation Center Clinical Neuropsychologist CurrentSince Aug 18, 2018 Accepting new patients
Mississippi Methodist Hospital & Rehabilitation Center, Inc. Past Accepting new patients
Tallahassee Memorial Healthcare Inc Past Accepting new patients

Locations

1607 Saint James Ct
Ste 1
Tallahassee, FL 32308
Phone (850) 431-7021

1350 E Woodrow Wilson Ave
Jackson, MS 39216
Phone (601) 364-5340

Interoperability endpoints

  • Direct secure messaging: virginiapersinger@tmhpp.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1073093894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE 504",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 CENTERVILLE RD STE 504",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084640",
            "telephone_number": "850-431-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSINGER",
        "first_name": "VIRGINIA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY11648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.