Organization Active NPI

Gerald Showalter, Psy.D., P.C.

  • Clinical Neuropsychologist
  • Waynesboro, VA
National Provider Identifier
1659689883
Registry record updated Sep 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810000262 Issued in VA
Legal business name
GERALD SHOWALTER, PSY.D., P.C.
Practice address
1320 Ohio St Ste M
Waynesboro, VA 22980-2467
Phone
(540) 447-0134
Fax
(540) 941-1076
NPI assigned
Sep 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2010

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

Authorized official

Name
Dr. Gerald R. Showalter, PSY.D.
Title
President
Phone
(540) 447-0134

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical NeuropsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103G00000X 0810000262 VA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810000262 VA

Addresses

Primary practice location

1320 Ohio St Ste M
Waynesboro, VA 22980-2467

Mailing address

1009 Lyndhurst Rd
Waynesboro, VA 22980-5532
Phone (540) 447-0134

Other identifiers 1

IdentifierTypeStateIssuer
7714386MedicaidVA

National Provider Directory

National Provider Directory

Locations

27 Stoneridge Dr
Ste A01
Waynesboro, VA 22980
Phone (540) 221-1846

1320 Ohio St
Ste M
Waynesboro, VA 22980
Phone (540) 447-0134

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285113600000",
    "number": "1659689883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 LYNDHURST RD",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229805532",
            "telephone_number": "540-447-0134",
            "fax_number": "540-941-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 OHIO ST STE M",
            "city": "WAYNESBORO",
            "state": "VA",
            "postal_code": "229802467",
            "telephone_number": "540-447-0134",
            "fax_number": "540-941-1076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD SHOWALTER, PSY.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-22",
        "last_updated": "2010-09-22",
        "status": "A",
        "authorized_official_last_name": "SHOWALTER",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-447-0134",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810000262",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000262",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7714386",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; 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.