Lynda Jeanne Birckhead, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810004565 Issued in VA

Practice address

217 McLaws Cir
Suite 2
Williamsburg, VA 23185-5855

Phone

(757) 253-0371

NPI assigned

Sep 26, 2012

Last updated

Sep 26, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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 1

Specialty

Clinical Psychologist

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Edward H Tiller PHD PCGroup PAC ID 8426016684, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Edward H Tiller PHD PC

  dba Williamsburg Centre For Therapy

  • Psychologist
  • Williamsburg, VA
  • NPI 1639252919
  Medicare reassignment Care Compare group NPD
• Thimble Shoals Counseling & Therapy Center PC

  dba Susan C Nicholson PhD, LCSW dba Thimble Shoals Counseling & Therapy Ce

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1033138227
  NPD (past)

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

{
    "created_epoch": "1348617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1245581628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1490 QUARTERPATH RD",
            "address_2": "STE 5A-330",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231856544",
            "telephone_number": "304-685-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 MCLAWS CIR",
            "address_2": "SUITE 2",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855855",
            "telephone_number": "757-253-0371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCKHEAD",
        "first_name": "LYNDA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-26",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "396",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Betts, MSW
• Keshav Bhandari, MD
• Andreas Bienert, LPC, NCC, CSAC
• Gregory J. Biernacki, MD
• Pamela J. Biernacki, NP
• Pamela K Bird, PSY.D.
• Brenda J Birney, R.PH.
• Sarah W Bisconer, PH.D., LPC
• Jessica G Bissinger, MS, ATC
• BJH MD PLLC (Williamsburg Ear Nose Throat & Allergy, PLLC)

• Clinical Psychologist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.