Individual provider Active NPI

Gabriella Scalzo, PHD, LCP

  • Clinical Psychologist
  • Henrico, VA
National Provider Identifier
1417774191
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810008659 Issued in VA
Practice address
7760 Shrader Rd Ste B
Henrico, VA 23228-2552
Phone
(804) 591-0002
NPI assigned
Sep 24, 2024
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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 0810008659 VA Primary

Addresses

Primary practice location

7760 Shrader Rd Ste B
Henrico, VA 23228-2552

Mailing address

2650A Judes Ferry Rd # a
Powhatan, VA 23139-5215
Phone (757) 705-1099

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
I20250110003150 VA Practitioner - Clinical Psychologist 4486182946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aspect Counseling and PsychiatryGroup PAC ID 1153842687, 21 clinicians

Practice addresses (Care Compare)

4801 Cox Rd
Suite 205
Glen Allen, VA 23060-6803
Phone (804) 796-0790

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810008659VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aspect Counseling and Psychiatry Clinical CurrentSince Jan 2, 2025 Accepting new patients

Locations

4801 Cox Rd
Ste 205
Glen Allen, VA 23060
Phone (804) 796-0790

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": "1727136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1417774191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650A JUDES FERRY RD # A",
            "city": "POWHATAN",
            "state": "VA",
            "postal_code": "231395215",
            "telephone_number": "757-705-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 SHRADER RD STE B",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232282552",
            "telephone_number": "804-591-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALZO",
        "first_name": "GABRIELLA",
        "name_prefix": "Dr.",
        "credential": "PHD, LCP",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2024-09-24",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810008659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

Verify at the official NPI Registry.