Active NPI
John Adam Hugo II, PH.D.
- Clinical Psychologist
- Ashland, VA
National Provider Identifier
1134344179
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810000704
- Practice address
- 11208 Gwathmey Church Rd
Ashland, VA 23005-7621 - Phone
- (804) 798-6364
- NPI assigned
- Apr 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810000704 | VA | Primary |
Addresses
Primary practice location
11208 Gwathmey Church Rd
Ashland, VA 23005-7621
Mailing address
11208 Gwathmey Church Rd
Ashland, VA 23005-7621
Phone (804) 798-6364
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)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810000704 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chapman Senior Care, Inc. | Clinical | Past | Accepting new patients |
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": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219881600000",
"number": "1134344179",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11208 GWATHMEY CHURCH RD",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057621",
"telephone_number": "804-798-6364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11208 GWATHMEY CHURCH RD",
"city": "ASHLAND",
"state": "VA",
"postal_code": "230057621",
"telephone_number": "804-798-6364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGO",
"first_name": "JOHN",
"middle_name": "ADAM",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2008-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810000704",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ashland, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.