Individual provider Active NPI

Dana Harvey Medcalf, PH.D.

  • Psychologist
  • Front Royal, VA
National Provider Identifier
1457569097
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810001687 Issued in VA
Practice address
422 Laura Virginia Hale PL
Front Royal, VA 22630-3311
Phone
(540) 636-0099
Fax
(540) 636-3873
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810001687 VA Primary

Addresses

Primary practice location

422 Laura Virginia Hale PL
Front Royal, VA 22630-3311

Mailing address

422 Laura Virginia Hale PL
Front Royal, VA 22630-3311
Phone (540) 636-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jan 1, 2016 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810001687VAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457569097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 LAURA VIRGINIA HALE PL",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303311",
            "telephone_number": "540-636-0099",
            "fax_number": "540-636-3873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 LAURA VIRGINIA HALE PL",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226303311",
            "telephone_number": "540-636-0099",
            "fax_number": "540-636-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDCALF",
        "first_name": "DANA",
        "middle_name": "HARVEY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.