Gerald R Showalter, PSY.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810000262 Issued in VA

Practice address

27 Stoneridge Dr
Ste A01
Waynesboro, VA 22980-6583

Phone

(540) 447-0134

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• Melbourne Medpsych PLLC

  • Clinical Neuropsychologist
  • Melbourne, FL
  • NPI 1346977311
  Medicare reassignment NPD Authorized official
• Comprehensive Health Systems,PLC

  • Psychiatry Physician
  • Staunton, VA
  • NPI 1649376450

  Clinical

  NPD (past)
• Jaclyn Mouras, PSYD, PLLC

  • Clinical Neuropsychologist
  • Waynesboro, VA
  • NPI 1467173971
  NPD (past)

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1609847136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 AVENUE B",
            "city": "MELBOURNE BEACH",
            "state": "FL",
            "postal_code": "329512215",
            "telephone_number": "540-447-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 STONERIDGE DR",
            "address_2": "STE A01",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229806583",
            "telephone_number": "540-447-0134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1915 Oak Street",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "32901",
            "country_code": "US",
            "telephone_number": "540-447-0134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHOWALTER",
        "first_name": "GERALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "PSY.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000262",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY10639",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007712197",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shenandoah Creative Counseling for Children and Adolescents
• Shenandoah Valley Counseling Center, LLC
• Shenandoah Valley Gastroenterology Center, PLLC
• Rebecca Hea-Sun Shin, D.M.D.
• Charles Hunter Shomo II, NP
• Kenneth Earle Showalter, PSY. D.
• Kerry Showalter, DPT, PT
• Leah L Showalter, OT
• Darold Shrewsbury III
• Siloam Direct Primary Care, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.