Center for Mind and Body Health

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

License

0810005495 Issued in VA

Legal business name

CENTER FOR MIND AND BODY HEALTH

Practice address

408 E Market St
Suite 201-B
Charlottesville, VA 22902-5261

Phone

(434) 566-0846

Fax

(434) 202-5441

NPI assigned

Apr 5, 2017

Last updated

Apr 5, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vivian Marie Rodriguez Archilla, PHD, LCPNPI 1356889471

Title

Director, Clinical Psychologist

Phone

(434) 566-0846

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vivian Marie Rodriguez Archilla, PHD

  • Health Psychologist
  • Charlottesville, VA
  • NPI 1356889471

  Cognitive & Behavioral

  NPD (past) Authorized official

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

{
    "created_epoch": "1491350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1316470503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2174 WHISPERING HOLLOW LN",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229113590",
            "telephone_number": "434-566-0846",
            "fax_number": "434-202-5441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 E MARKET ST",
            "address_2": "SUITE 201-B",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229025261",
            "telephone_number": "434-566-0846",
            "fax_number": "434-202-5441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR MIND AND BODY HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-05",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ ARCHILLA",
        "authorized_official_first_name": "VIVIAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR, CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "434-566-0846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LCP"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "VA",
            "license": "0810005495",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005495",
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "VA",
            "license": "0810005495",
            "primary": false
        },
        {
            "code": "103TH0004X",
            "taxonomy_group": "",
            "desc": "Psychologist, Health",
            "state": "VA",
            "license": "0810005495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Cecil, OT
• Cedars Leasing Co., LLC (Cedars Healthcare Center)
• Harold Viviano Cedeno Abreu, M.D.
• Ivonne Cedillos
• Center for Integrated Recovery, LLC
• Center for Wellness & Change, LLC
• Central Virginia Health Service Inc (CVHS Peterson)
• Central Virginia Health Services Inc (CVHS Charlottesville)
• Central Virginia Holdings, Inc. (BrightStar of Charlottesville)
• Central Virginia Oral & Facial Surgeons, PLC

• Health Psychologist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Health Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.