Richard P. Bindewald Jr., LCP, PHD
Individual provider Active NPI Clinical Psychologist · Gretna, VA
NPI 1336196294 · NPPES record last updated Aug 28, 2023
Key facts
- NPI
- 1336196294
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 0810001193 (VA)
- Practice address
- 110 Henry Street
Gretna, VA 24557-4201 - Phone
- (434) 836-2260
- Fax
- (434) 836-1783
- NPI assigned
- May 27, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001193 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Counsel Associates, Inc. | Current |
Accepting new patients | |
| T Med Behavioral Inc | Clinical | Past | Accepting new patients |
| S & S Health Care, Inc. | Past |
Accepting new patients |
Locations
3833 U S Highway 29
Ste C
Danville, VA 24540
Phone (434) 836-2260
3400 Franklin Tpke
Danville, VA 24540
Phone (434) 836-2260
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810001193 | VA | |
| Clinical Psychologist | 103TC0700X | 0810001193 | VA | Yes |
Addresses
Primary practice location
110 Henry Street
Gretna, VA 24557-4201
Mailing address
P.O. Box 1279
Gretna, VA 24557-1279
Phone (434) 836-2260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 007714611 | Medicaid | VA |
Other providers in Gretna, VA
- A Step Above the Rest
- Ada Allen
- Susan P. Bindewald
- Michael Lee Bond
- Bright Strides Speech Therapy LLC
- Henry Chapman Brown III
- Terry Callands
All providers in Gretna, VA · Clinical Psychologist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.