Active NPI
Claire Elkington De Andrade, PSY.D.
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1598984585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810008130
- Practice address
- 100 E South St Ste 5
Charlottesville, VA 22902-5217 - Phone
- (434) 971-4747
- NPI assigned
- Apr 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 0810008130 | VA | Primary |
| Clinical Psychologist | 103TC0700X | PSY 18715 | CA |
Addresses
Primary practice location
100 E South St Ste 5
Charlottesville, VA 22902-5217
Mailing address
100 E South St Ste 5
Charlottesville, VA 22902-5217
Phone (434) 971-4747
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
- Opted out of Medicare
- Yes, effective Jul 1, 2017 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18715 | CA | MD | Clinical Psychologist |
| 0810008130 | VA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696723200000",
"number": "1598984585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E SOUTH ST STE 5",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025217",
"telephone_number": "434-971-4747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SOUTH ST STE 5",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025217",
"telephone_number": "434-971-4747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE ANDRADE",
"first_name": "CLAIRE",
"middle_name": "ELKINGTON",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-25",
"last_updated": "2023-10-08",
"certification_date": "2023-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810008130",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY 18715",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
- Robert Benjamin Davis, RN, FNP
- Sara R Davis, ACPNP
- Sharon Marshall Davis, M.ED.LPC LMFT NCC
- Sheila F. Davis, M.D.
- Michelle Francis Dawson, AG-ACNP
- Anthony M De Gregorio, DO
- Elisabeth Ann De Jong, PT
- Alexandra Raquel Barbosa De Leon, M.D.
- Laura Anne De Ravin, MD
- Wendy Caroline De Souza Costa Franca, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.