Thomas L Terraciano, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001412 Issued in VA

Practice address

3932 Springfield Road
West End Family Counseling
Glen Allen, VA 23060-4119

Phone

(804) 747-8300

Fax

(804) 747-6215

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• West End Family Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Allen, VA
  • NPI 1487743639
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386756526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 SPRINGFIELD ROAD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604119",
            "telephone_number": "804-747-8300",
            "fax_number": "804-747-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3932 SPRINGFIELD ROAD",
            "address_2": "WEST END FAMILY COUNSELING",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230604119",
            "telephone_number": "804-747-8300",
            "fax_number": "804-747-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRACIANO",
        "first_name": "THOMAS",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carla Taylor, LSATP
• Caroline Taylor, ATC
• Joshua K Taylor, LCSW
• Team Counseling and Psychological Services, Incorporated
• Cynthia L Terraciano, LCSW
• Deena A Terrell, LCSW
• Nidhi Tewari, LCSW
• Phu Trung Thai, PHARM.D.
• The Daily Planet Inc (HAMHDS Woodman Center)
• The Elevare Agency LLC

• Clinical Psychologist in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.