Mundy Psychological Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

MUNDY PSYCHOLOGICAL SERVICES

Practice address

3959 Electric Rd Ste 454
Roanoke, VA 24018-4559

Phone

(540) 529-9573

Fax

(540) 269-4365

NPI assigned

Jan 15, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Klaire Mundy, PSYD

Title

Licensed Clinical Psychologist

Phone

(540) 529-9573

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1610668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1568051373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD STE 454",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184559",
            "telephone_number": "540-529-9573",
            "fax_number": "540-269-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD STE 454",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184559",
            "telephone_number": "540-529-9573",
            "fax_number": "540-269-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNDY PSYCHOLOGICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-15",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-14",
        "status": "A",
        "authorized_official_last_name": "MUNDY",
        "authorized_official_first_name": "KLAIRE",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "540-529-9573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grantt Mullins, PHARM.D.
• Jennifer Lynn Mullins, PHARMD
• Larry N Mullins, RPH
• Sarah Mullins, ACNP-AG
• Roger Eugene Mumpower, PHARMACIST
• Klaire T. Mundy, PSY D
• Thomas J Munro, MD
• Melissa Nicole Munroe, M.D.
• Keith D Munson, M.D.
• Bharath Muppala, MD

• Clinical Psychologist in Roanoke, VA
• Providers in Roanoke, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; 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.