NPIMap

Organization Active NPI

Dougan and Walden Wellness, PLLC

  • Psychologist
  • Midlothian, VA
National Provider Identifier
1396259602
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
DOUGAN AND WALDEN WELLNESS, PLLC
Practice address
312 Browns Hill CT
Midlothian, VA 23114-9511
Phone
(804) 893-5555
Fax
(804) 893-5553
NPI assigned
Nov 22, 2017
Last updated
Sep 12, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Dr. Jeremy Todd Walden, PSYD, LCPNPI 1649535246
Title
Co-Owner/Psychologist
Phone
(804) 893-5555

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

312 Browns Hill CT
Midlothian, VA 23114-9511

Mailing address

312 Browns Hill CT
Midlothian, VA 23114-9511
Phone (804) 893-5555

Other practice location 1

250 Wylderose Dr Ste 100
Midlothian, VA 23113-6844
Phone (804) 893-5555

Other practice location 2

9568 Kings Charter Dr Ste 101
Ashland, VA 23005-7955
Phone (804) 893-5555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200321000189 VA Part B Supplier - Clinic/Group Practice 7012345267 Receives reassigned benefits from 12 practitioners
Practice locations: Midlothian, VA

National Provider Directory

National Provider Directory

Locations

9568 Kings Charter Dr
Ste 101
Ashland, VA 23005
Phone (804) 496-6559

250 Wylderose Dr
Ste 100
Midlothian, VA 23113
Phone (804) 893-5555

312 Browns Hill Ct
Midlothian, VA 23114
Phone (804) 651-1830

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1396259602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 BROWNS HILL CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231149511",
            "telephone_number": "804-893-5555",
            "fax_number": "804-893-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 BROWNS HILL CT",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231149511",
            "telephone_number": "804-893-5555",
            "fax_number": "804-893-5553"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Wylderose Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Midlothian",
            "state": "VA",
            "postal_code": "231136844",
            "country_code": "US",
            "telephone_number": "804-893-5555",
            "fax_number": "804-893-5553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9568 Kings Charter Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "VA",
            "postal_code": "230057955",
            "country_code": "US",
            "telephone_number": "804-893-5555",
            "fax_number": "804-893-5553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DOUGAN AND WALDEN WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2025-09-12",
        "certification_date": "2023-01-09",
        "status": "A",
        "authorized_official_last_name": "WALDEN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_middle_name": "TODD",
        "authorized_official_title_or_position": "CO-OWNER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "804-893-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD, LCP"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.