Organization Active NPI

Virginia Institute for Interpersonal Development, PLLC

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1164596888
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
2472 Issued in CO
Legal business name
VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC
Practice address
3212 Skipwith Rd
Suite 104
Richmond, VA 23294-4413
Phone
(804) 308-9133
Fax
(804) 273-0851
NPI assigned
Nov 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Vicki Van Cleave, PSY.D.
Title
Clinical Psychologist - Director
Phone
(804) 308-9133

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810003638 VA
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 324 MT
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 2472 CO Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 0830003638 VA
Adult Mental Health Clinic/Center 261QM0850X 0810003638 VA
Adolescent and Children Mental Health Clinic/Center 261QM0855X 0810003638 VA

Addresses

Primary practice location

3212 Skipwith Rd
Suite 104
Richmond, VA 23294-4413

Mailing address

13204 Thornridge LN
Midlothian, VA 23112-4836
Phone (804) 308-9133

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1164596888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13204 THORNRIDGE LN",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124836",
            "telephone_number": "804-308-9133",
            "fax_number": "804-273-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3212 SKIPWITH RD",
            "address_2": "SUITE 104",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944413",
            "telephone_number": "804-308-9133",
            "fax_number": "804-273-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "VAN CLEAVE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST - DIRECTOR",
        "authorized_official_telephone_number": "804-308-9133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003638",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MT",
            "license": "324",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "CO",
            "license": "2472",
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "0830003638",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0810003638",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "VA",
            "license": "0810003638",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.