Individual provider Active NPI

Danielle R Spearman-Camblard, PHD, PSYD

  • Psychologist
  • North Chesterfield, VA
National Provider Identifier
1154659985
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810007537 Issued in VA
Practice address
7400 Beaufont Springs Dr Ste 300
North Chesterfield, VA 23225-5519
Phone
(844) 469-3327
Fax
(860) 955-1611
NPI assigned
Dec 7, 2009
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 4025 CT
Psychologist 103T00000X 0810007537 VA Primary

Addresses

Primary practice location

7400 Beaufont Springs Dr Ste 300
North Chesterfield, VA 23225-5519

Mailing address

7400 Beaufont Springs Dr Ste 300
North Chesterfield, VA 23225-5519
Phone (888) 436-8836

Other identifiers 1

IdentifierTypeStateIssuer
3001565298MedicaidVA

Other names 1

  • Dr. Danielle R Camblard Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL www.therapynotes.com Other
Other URL www.therapynotes.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260430001195 VA Practitioner - Psychologist Billing Independently 3577030253 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

2321 Wards Rd
Lynchburg, VA 24502-2101
Phone (434) 582-2273

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810007537VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Focus Counseling, PLLC Psychologist CurrentSince Jul 1, 2021 Accepting new patients
Family Focus Counseling Services, LLC Psychologist Current Accepting new patients
Family Focus Counsel LLC Past Accepting new patients

Locations

867 Main St
Ste 6
Manchester, CT 06040

7400 Beaufont Spring Dr
Ste 300
North Chesterfield, VA 23225
Phone (804) 592-1225

1806 Summit Ave
Ste 300
Richmond, VA 23230
Phone (804) 315-3771

Organizations & group practices 4

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1154659985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255519",
            "telephone_number": "888-436-8836",
            "fax_number": "860-955-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR STE 300",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232255519",
            "telephone_number": "844-469-3327",
            "fax_number": "860-955-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEARMAN-CAMBLARD",
        "first_name": "DANIELLE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PHD, PSYD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CT",
            "license": "4025",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810007537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3001565298",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "clinical notes and documentation portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "documentation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "electronic virtual records",
            "address_1": "1806 Summit Ave Ste 300",
            "city": "Richmond",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232304339",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "clinical notes and documentation portal",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Documentation",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Electronic Virtual Records",
            "address_1": "7400 Beaufont Springs Dr Ste 300",
            "city": "North Chesterfield",
            "state": "VA",
            "country_code": "US",
            "postal_code": "232255519",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CAMBLARD",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "PHD, PSYD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.