Active NPI
Blue Ridge Psychotherapy & Consultation Associates, PC
- Clinical Psychologist
- Buena Vista, VA
National Provider Identifier
1457537490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001331
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079179 | Other | VA | ANTHEM |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Clinical Psychologist
- Buena Vista, VA
- NPI 1497904320
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.