Jamie Ducharme, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

0810004265 Issued in VA

Practice address

2005 Pleasure House Rd
Virginia Beach, VA 23455

Phone

(757) 301-2248

Fax

(757) 689-8378

NPI assigned

Jun 30, 2008

Last updated

Mar 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in VA

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Neuropsychological Services of Tidewater LLCGroup PAC ID 0345507372, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Neuropsychological Services of Tidewater, LLC

  • Clinical Neuropsychologist
  • Virginia Beach, VA
  • NPI 1366956096
  Medicare reassignment Care Compare group NPD Authorized official
• Beach Neuropsychology Services LLC

  • Clinical Neuropsychologist
  • Virginia Beach, VA
  • NPI 1851992333
  NPD (past)

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

{
    "created_epoch": "1214784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1659533610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 PLEASURE HOUSE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552709",
            "telephone_number": "757-301-2248",
            "fax_number": "757-689-8378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 PLEASURE HOUSE RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23455",
            "telephone_number": "757-301-2248",
            "fax_number": "757-689-8378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "575 Lynnhaven Pkwy",
            "address_2": "Suite 278",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527350",
            "country_code": "US",
            "telephone_number": "757-301-2248",
            "fax_number": "757-689-8378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Lynnhaven Pkwy",
            "address_2": "Suite 278",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234527350",
            "country_code": "US",
            "telephone_number": "757-301-2248",
            "fax_number": "757-689-8378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUCHARME",
        "first_name": "JAMIE",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-30",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810004265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juanito Santos Dualan Jr.
• Chrystal Michelle Dubay
• Esther Dubique, LCSW
• Shervon Tanyer Dubique
• Jaime Duca
• Leigh Dudding, MS OTR L
• Joshua Dudek, PHARMD
• Ashley Dudkiewicz, PT, DPT, MTC, CLT
• Bonnie Pezzotti Dudley, B.S.
• Patricia G Dudley, RNC, MSN, FNP

• Clinical Neuropsychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Clinical Neuropsychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.