Individual provider Active NPI

Kathleen Davison Duncan, PSY.D.

  • Clinical Neuropsychologist
  • Chesapeake, VA
National Provider Identifier
1669565214
Registry record updated Jul 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
License
0810003449 Issued in VA
Practice address
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone
(757) 373-3449
Fax
(757) 296-2263
NPI assigned
Oct 2, 2006
Last updated
Jul 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 0810003449 VA Primary

Addresses

Primary practice location

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218

Mailing address

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone (757) 206-2772

Other identifiers 1

IdentifierTypeStateIssuer
010154596MedicaidVA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20050616000349 VA Practitioner - Clinical Psychologist 8426092487 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Assessment and Therapy AssociatesGroup PAC ID 2062581481, 21 clinicians

Practice addresses (Care Compare)

1545 Crossways Blvd
Suite 250
Chesapeake, VA 23320-0218
Phone (757) 206-2772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Assessment & Therapy Associates PC Clinical Neuropsychologist CurrentSince Jan 1, 2008 Accepting new patients
Behavioral Health Associates LTC Past Accepting new patients

Locations

1545 Crossways Blvd
Chesapeake, VA 23320
Phone (757) 309-1405

1545 Crossways Blvd
Ste 25
Chesapeake, VA 23320
Phone (757) 206-2772

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

2006 Old Greenbrier Rd
Ste 6
Chesapeake, VA 23320
Phone (757) 633-4650

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626393600000",
    "number": "1669565214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "757-206-2772",
            "fax_number": "757-296-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "757-373-3449",
            "fax_number": "757-296-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCAN",
        "first_name": "KATHLEEN",
        "middle_name": "DAVISON",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2021-07-16",
        "certification_date": "2021-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "VA",
            "license": "0810003449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010154596",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.