Charles Wayne McDonough

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

0024182163 Issued in VA

Practice address

6714 Patterson Ave Ste 204
Richmond, VA 23226-3432

Phone

(804) 282-3387

NPI assigned

Jul 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lynn Stonnell,LCSW,Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1588848154

  Single Specialty

  NPD
• James E.Sellman MD and Associates PC

  • Specialist
  • Richmond, VA
  • NPI 1104906627

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1619540705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 SHADY GROVE RD",
            "city": "MECHANICSVILLE",
            "state": "VA",
            "postal_code": "231162845",
            "telephone_number": "804-873-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6714 PATTERSON AVE STE 204",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263432",
            "telephone_number": "804-282-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONOUGH",
        "first_name": "CHARLES",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024182163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solomon V McDonald
• Sydney Brodeur McDonald, PH.D.
• Taylor Rochelle McDonald
• James McDonnell, D.O.
• Lane McDonnell
• Jane E. McDorman, CRNA
• Sarah Ann Shelton McDowell, LPTA
• Khalyson McDuffie
• Joseph David McEachon II, DO
• Anne Howell McElroy, MD

• Psychiatric/Mental Health Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.