Active NPI
Laura Caccavale, PHD
- Clinical Psychologist
- Richmond, VA
National Provider Identifier
1568865681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810006062
- Practice address
- 2303 N Parham Rd
Richmond, VA 23229-3102 - Phone
- (804) 527-4782
- NPI assigned
- Oct 2, 2014
- Last updated
- Jan 28, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810006062 | VA | Primary |
Addresses
Primary practice location
2303 N Parham Rd
Richmond, VA 23229-3102
Mailing address
2303 N Parham Rd
Henrico, VA 23229-3102
Phone (804) 527-4782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Current | Accepting new patients |
Locations
2305 N Parham Rd
Ste 1
Richmond, VA 23229
Phone (804) 527-4716
2305 N Parham Rd
Richmond, VA 23229
Phone (804) 346-3077
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
Organizations & group practices 1
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": "1412208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1568865681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2303 N PARHAM RD",
"city": "HENRICO",
"state": "VA",
"postal_code": "232293102",
"telephone_number": "804-527-4782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 N PARHAM RD",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232293102",
"telephone_number": "804-527-4782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CACCAVALE",
"first_name": "LAURA",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-02",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810006062",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.