Individual provider Active NPI

Robert Marcello, PHD

  • Clinical Psychologist
  • Henrico, VA
National Provider Identifier
1366485278
Registry record updated Aug 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001795 Issued in VA
Practice address
2301 N Parham Rd
Henrico, VA 23229-3171
Phone
(804) 270-1124
Fax
(804) 270-2070
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001795 VA Primary

Addresses

Primary practice location

2301 N Parham Rd
Henrico, VA 23229-3171

Mailing address

2301 N Parham Rd Ste 5
Richmond, VA 23229-3171
Phone (804) 270-1124

Other identifiers 2

IdentifierTypeStateIssuer
192478OtherVABLUE CROSS
010259266MedicaidVA

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
I20060413000415 VA Practitioner - Clinical Psychologist 0244249597 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dominion Behavioral HealthcareGroup PAC ID 6709803570, 26 clinicians

Practice addresses (Care Compare)

2301 N Parham Rd
Suite 5
Richmond, VA 23229-3171
Phone (804) 270-1124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810001795VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dominion Behavioral Healthcare Clinical Current Accepting new patients
Dominion Behavioral Healthcare CurrentSince Sep 1, 2025 Accepting new patients

Locations

2301 N Parham Rd
Ste 5
Richmond, VA 23229
Phone (804) 270-1124

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756425600000",
    "number": "1366485278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 N PARHAM RD STE 5",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232293171",
            "telephone_number": "804-270-1124",
            "fax_number": "804-270-2070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 N PARHAM RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232293171",
            "telephone_number": "804-270-1124",
            "fax_number": "804-270-2070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCELLO",
        "first_name": "ROBERT",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2025-08-29",
        "certification_date": "2025-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "192478",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010259266",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.