Active NPI
Kathleen Davison Duncan, PSY.D.
- Clinical Neuropsychologist
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neuropsychologist
- License
- 0810003449
- 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, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010154596 | Medicaid | VA |
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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Assessment & Therapy Associates PC | Clinical Neuropsychologist | Current | 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.
-
- Clinical Psychologist
- Chesapeake, VA
- NPI 1922286707
Clinical Neuropsychologist
-
dba Comprehensive Mental Health Associates
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Chesapeake, VA
- NPI 1851485718
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2021; 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.