Active NPI
Evalyn G Bishop, PH.D.
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1568563161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 08100001917
- Practice address
- 198 Spotnap Rd Ste A3
Charlottesville, VA 22911-8614 - Phone
- (434) 882-2631
- Fax
- (434) 882-2631
- NPI assigned
- Sep 26, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 08100001917 | VA | Primary |
| Rehabilitation Psychologist | 103TR0400X |
Addresses
Primary practice location
198 Spotnap Rd Ste A3
Charlottesville, VA 22911-8614
Mailing address
135 Oak Forest Circle
Charlottesville, VA 22901
Phone (434) 882-2631
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 88096M | Other | VA | OPTIMA HEALYH |
| 262463 | Other | VA | VALUE OPTIONS CH'VILLE |
| 105614 | Other | VA | ANTHEM BCBS |
| 262463 | Other | VA | VALUE OPTIONS |
| 087576 | Other | VA | OPTIMA HEALTH |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08100001917 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Counseling Associates Inc | Clinical | Past | Accepting new patients |
| Psychiatric Associates of the Shenandoah | Clinical | Past | 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 and National Provider Directory roles.
-
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- NPI 1851345805
-
- Clinical Social Worker
- Waynesboro, VA
- NPI 1053360263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205798400000",
"number": "1568563161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 OAK FOREST CIRCLE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22901",
"telephone_number": "434-882-2631",
"fax_number": "434-244-0716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "198 SPOTNAP RD STE A3",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229118614",
"telephone_number": "434-882-2631",
"fax_number": "434-882-2631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BISHOP",
"first_name": "EVALYN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2008-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "08100001917",
"primary": true
},
{
"code": "103TR0400X",
"taxonomy_group": "",
"desc": "Psychologist, Rehabilitation",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALYH",
"identifier": "88096M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS CH'VILLE",
"identifier": "262463",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "105614",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "262463",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA HEALTH",
"identifier": "087576",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.