Individual provider Active NPI

Nancy Macconnachie, PH.D.

  • Clinical Psychologist
  • Richmond, VA
National Provider Identifier
1386820470
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001700 Issued in VA
Practice address
5821 Staples Mill Rd
Richmond, VA 23228-5427
Phone
(804) 264-0966
Fax
(804) 264-1029
NPI assigned
Jan 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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 0810001700 VA Primary

Addresses

Primary practice location

5821 Staples Mill Rd
Richmond, VA 23228-5427

Mailing address

5821 Staples Mill Rd
Richmond, VA 23228-5427
Phone (804) 264-0966

Other identifiers 1

IdentifierTypeStateIssuer
007751338MedicaidVA

Other names 1

  • Dr. Nancy Macconnachie Carnan Other name

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
I20080722000666 VA Practitioner - Clinical Psychologist 3173696226 Reassigns benefits to 1 organization

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)

5821 Staples Mill Rd
Henrico, VA 23228-5427
Phone 804264096648

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nancy Macconnachie, PH.D., Inc. Clinical CurrentSince Apr 24, 2008 Accepting new patients

Locations

5821 Staples Mill Rd
Richmond, VA 23228
Phone (804) 221-6682

Organizations & group practices 1

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": "1200614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393459200000",
    "number": "1386820470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966",
            "fax_number": "804-264-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5821 STAPLES MILL RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232285427",
            "telephone_number": "804-264-0966",
            "fax_number": "804-264-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACCONNACHIE",
        "first_name": "NANCY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-18",
        "last_updated": "2014-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007751338",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "CARNAN",
            "middle_name": "MACCONNACHIE",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.