Individual provider Active NPI

John Patrick Dwyer I, PH.D.

  • Psychologist
  • Chesterfield, VA
National Provider Identifier
1346212115
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810001641 Issued in VA
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

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7750196MedicaidVA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
0810001641VAMDClinical Child & Adolescent Psychologist
680001422VAMDClinical Child & Adolescent Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Familywork PLC CurrentSince Jan 4, 2026 Accepting new patients
The Meridian Group of Chesterfield Clinical CurrentSince Jan 1, 1994 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.

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

Verify at the official NPI Registry.