Jessica Tate, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810006254 Issued in VA

Practice address

2590 Gaskins Rd Ste C
Richmond, VA 23238-1404

Phone

(804) 215-7968

NPI assigned

Sep 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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

University of Nebraska College of Medicine, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vernon J Harris East End Community Health Center 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EJBDAA

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.

• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1295707966

  VA

  Medicare reassignment Care Compare group NPD
• Chesterfield Family Guidance Center

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1225192909

  Clinical, VA

  Medicare reassignment NPD
• Empowered Psychotherapy & Evaluation Services LLC

  • Clinical Psychologist
  • Richmond, VA
  • NPI 1699477521

  Clinical

  NPD Authorized official
• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1366920530
  Care Compare group NPD
• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1871818153
  Care Compare group NPD
• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1972636330
  Care Compare group NPD (past)
• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1396078135
  Care Compare group
• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • North Chesterfield, VA
  • NPI 1710225818
  Care Compare group
• Vernon J Harris East End Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Richmond, VA
  • NPI 1881883007
  Care Compare group
• Vernon J Harris East End Community Health Center

  • Pediatrics Physician
  • Richmond, VA
  • NPI 1992404552
  NPD (past)

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1295384147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2590 GASKINS RD STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381404",
            "telephone_number": "804-215-7968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2590 GASKINS RD STE C",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232381404",
            "telephone_number": "804-215-7968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATE",
        "first_name": "JESSICA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810006254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes B. Tarongoy, N.P.
• Jill Tarr, CPNP
• Betty Tasie, NP
• Task Kids Inc Richmond VA
• Alexandra J Tate, M.D.
• Kelsey Tate, PHARMD
• Madison Taylor Tate, OTR
• Richard Tate, M.D.
• Troy L Tate, CCC-SLP
• Shanthi S. Tatineni, M.D.

• All providers in Richmond, VA
• Clinical Psychologist in Virginia

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