Organization Active NPI

Blue Ridge Psychotherapy & Consultation Associates, PC

  • Clinical Psychologist
  • Buena Vista, VA
National Provider Identifier
1457537490
Registry record updated Mar 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001331 Issued in VA
Legal business name
BLUE RIDGE PSYCHOTHERAPY & CONSULTATION ASSOCIATES, PC
Practice address
2424 Magnolia Ave
Suite 1
Buena Vista, VA 24416-3026
Phone
(540) 460-3017
NPI assigned
Jan 19, 2008
Last updated
Mar 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2011

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

Authorized official

Name
Dr. Robin Ramsey Telsch, PH.D.
Title
Clinical Psychologist
Phone
(540) 460-3017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001331 VA Primary

Addresses

Primary practice location

2424 Magnolia Ave
Suite 1
Buena Vista, VA 24416-3026

Mailing address

2424 Magnolia Ave
Suite 1
Buena Vista, VA 24416-3026
Phone (540) 460-3017

Other identifiers 1

IdentifierTypeStateIssuer
079179OtherVAANTHEM

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299974400000",
    "number": "1457537490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2424 MAGNOLIA AVE",
            "address_2": "SUITE 1",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244163026",
            "telephone_number": "540-460-3017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 MAGNOLIA AVE",
            "address_2": "SUITE 1",
            "city": "BUENA VISTA",
            "state": "VA",
            "postal_code": "244163026",
            "telephone_number": "540-460-3017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE RIDGE PSYCHOTHERAPY & CONSULTATION ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-19",
        "last_updated": "2011-03-13",
        "status": "A",
        "authorized_official_last_name": "TELSCH",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "RAMSEY",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "540-460-3017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "079179",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buena Vista, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2011; 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.