Active NPI
John Patrick Dwyer I, PH.D.
- Psychologist
- Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810001641
- Practice address
- 9401 Courthouse Rd Ste 206
Chesterfield, VA 23832-6690 - Phone
- (804) 751-8644
- Fax
- (804) 751-0648
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 680001422 | VA | |
| Counseling Psychologist | 103TC1900X | 680001422 | VA | |
| Family Psychologist | 103TF0000X | 680001422 | VA | |
| Psychologist | 103T00000X | 680001422 | VA | |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 0810001641 | VA | |
| Psychologist | 103T00000X | 0810001641 | VA | Primary |
| Clinical Child & Adolescent Psychologist | 103TC2200X | 680001422 | VA | |
| Intellectual & Developmental Disabilities Psychologist | 103TM1800X | 680001422 | VA | |
| Cognitive & Behavioral Psychologist | 103TB0200X | 680001422 | VA | |
| Marriage & Family Therapist | 106H00000X | 680001422 | VA |
Addresses
Primary practice location
9401 Courthouse Rd Ste 206
Chesterfield, VA 23832-6690
Mailing address
9401 Courthouse Rd Ste 206
Chesterfield, VA 23832-6690
Phone (804) 751-8644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7750196 | Medicaid | VA |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120305000470 | VA | Practitioner - Clinical Psychologist | 5597924928 | Practice locations: Chesterfield, VA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
9401 Courthouse Rd
Suite 206
Chesterfield, VA 23832-6690
Phone (804) 751-8644
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810001641 | VA | MD | Clinical Child & Adolescent Psychologist |
| 680001422 | VA | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Familywork PLC | Current | Accepting new patients | |
| The Meridian Group of Chesterfield | Clinical | Current | Accepting new patients |
Locations
9401 Courthouse Rd
Ste 206
Chesterfield, VA 23832
Phone (804) 751-0648
10109 Krause Rd
Ste 100
Chesterfield, VA 23832
Phone (804) 751-8644
Organizations & group practices 2
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.
-
- Clinical Psychologist
- Chesterfield, VA
- NPI 1467476093
-
- Clinical Social Worker
- Chesterfield, VA
- NPI 1669517934
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1346212115",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9401 COURTHOUSE RD STE 206",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326690",
"telephone_number": "804-751-8644",
"fax_number": "804-751-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 COURTHOUSE RD STE 206",
"city": "CHESTERFIELD",
"state": "VA",
"postal_code": "238326690",
"telephone_number": "804-751-8644",
"fax_number": "804-751-0648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DWYER",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"name_suffix": "I",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "680001422",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "VA",
"license": "680001422",
"primary": false
},
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "VA",
"license": "680001422",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "680001422",
"primary": false
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "0810001641",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810001641",
"primary": true
},
{
"code": "103TC2200X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical Child & Adolescent",
"state": "VA",
"license": "680001422",
"primary": false
},
{
"code": "103TM1800X",
"taxonomy_group": "",
"desc": "Psychologist, Intellectual & Developmental Disabilities",
"state": "VA",
"license": "680001422",
"primary": false
},
{
"code": "103TB0200X",
"taxonomy_group": "",
"desc": "Psychologist, Cognitive & Behavioral",
"state": "VA",
"license": "680001422",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "VA",
"license": "680001422",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7750196",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; 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.