Individual provider Active NPI

Brenda Jean Ratcliff, PH.D.

  • Psychologist
  • Natural Bridge, VA
National Provider Identifier
1477571511
Registry record updated May 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0811000003 Issued in VA
Practice address
5770 Plank Rd
Natural Bridge, VA 24578-4039
Phone
(540) 529-1124
Fax
(540) 291-8339
NPI assigned
Jul 17, 2006
Last updated
May 18, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0811000003 VA Primary

Addresses

Primary practice location

5770 Plank Rd
Natural Bridge, VA 24578-4039

Mailing address

5770 Plank Rd
Natural Bridge, VA 24578-4039
Phone (540) 529-1124

Other identifiers 5

IdentifierTypeStateIssuer
11-3701532OtherVATRICARE-CHAMPUS
010001897MedicaidVA
9528762OtherVACIGNA
142607OtherVAANTHEM BCBS
11-3701532OtherVAVIRGINIA HEALTH NETWORK

Other names 1

  • Dr. Brenda Ratcliff Baird Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
T Med Behavioral Inc Past Accepting new patients
Chapman Senior Care, Inc. PastSince Apr 9, 2011 Accepting new patients

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274140800000",
    "number": "1477571511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 PLANK RD",
            "city": "NATURAL BRIDGE",
            "state": "VA",
            "postal_code": "245784039",
            "telephone_number": "540-529-1124",
            "fax_number": "540-291-8339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 PLANK RD",
            "city": "NATURAL BRIDGE",
            "state": "VA",
            "postal_code": "245784039",
            "telephone_number": "540-529-1124",
            "fax_number": "540-291-8339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATCLIFF",
        "first_name": "BRENDA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0811000003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE-CHAMPUS",
            "identifier": "11-3701532",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010001897",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "9528762",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "142607",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VIRGINIA HEALTH NETWORK",
            "identifier": "11-3701532",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "BAIRD",
            "middle_name": "RATCLIFF",
            "prefix": "DR.",
            "credential": "PH.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Natural Bridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2010; 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.