Individual provider Active NPI

David C Streicher, PHD

  • Clinical Psychologist
  • Charlottesville, VA
National Provider Identifier
1457339681
Registry record updated Oct 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002669 Issued in VA
Practice address
901 Preston Ave Ste 301
Charlottesville, VA 22903-4491
Phone
(434) 227-5624
Fax
(434) 970-7700
NPI assigned
Jan 6, 2006
Last updated
Oct 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2019

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 0810002669 VA Primary

Addresses

Primary practice location

901 Preston Ave Ste 301
Charlottesville, VA 22903-4491

Mailing address

Highway 15 South
New Canton, VA 23123
Phone (434) 581-3271

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
I20160920000513 VA Practitioner - Clinical Psychologist 8628365665 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Virginia Health Services IncGroup PAC ID 0345158432, shared by 19 NPIs, 94 clinicians

Practice addresses (Care Compare)

1101 E Jefferson St
Charlottesville, VA 22902-5353
Phone (434) 227-5624

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0810002669VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc Current Accepting new patients
Central Virginia Health Services Inc CurrentSince Jun 27, 2016 Accepting new patients
Central Virginia Health Services Inc CurrentSince Jun 27, 2016 Accepting new patients
Central Virginia Health Services Inc CurrentSince Jun 27, 2016 Accepting new patients
Central Virginia Health Services Inc PastSince Oct 13, 2019 Accepting new patients
Central Virginia Health Services, Inc. Past Accepting new patients

Locations

1101 E Jefferson St
Ste 1
Charlottesville, VA 22902
Phone (434) 227-5624

901 Preston Ave
Ste 301
Charlottesville, VA 22903
Phone (434) 227-5624

1101 E Jefferson St
Charlottesvle, VA 22902
Phone (434) 227-5624

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1457339681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "HIGHWAY 15 SOUTH",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "23123",
            "telephone_number": "434-581-3271",
            "fax_number": "434-581-1105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 PRESTON AVE STE 301",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229034491",
            "telephone_number": "434-227-5624",
            "fax_number": "434-970-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STREICHER",
        "first_name": "DAVID",
        "middle_name": "C",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

Verify at the official NPI Registry.