Christopher Michael Carusi, PH.D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810003040 Issued in VA

Practice address

434 Mitchell Valley Drive
Marion, VA 24354-6338

Phone

(276) 783-7600

Fax

(276) 783-1802

NPI assigned

Sep 28, 2006

Last updated

May 20, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heatherwood Counseling Center IncGroup PAC ID 9133100605, 11 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.

• Heatherwood Counseling Center, Inc.

  dba Heatherwood Counseling Center

  • Clinical Social Worker
  • Marion, VA
  • NPI 1780614594
  Medicare reassignment Care Compare group NPD
• Chapman Senior Care, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1669439691
  NPD (past)
• Southwestern Virginia Counseling and Psychological Services

  • Clinical Psychologist
  • Wytheville, VA
  • NPI 1083799597
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305849600000",
    "number": "1689766784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DRIVE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "434 MITCHELL VALLEY DRIVE",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243546338",
            "telephone_number": "276-783-7600",
            "fax_number": "276-783-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARUSI",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2011-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810003040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010186111",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "015148586",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11525677",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1689766784",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "179557",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandy M Campbell, PMHNP-BC
• Laura S. Campbell, LCSW
• Laura Carmickle
• Connor Carrigan, PA - C
• Lane Lawson Carroll
• Rodolfo Baura Ceballos, MD
• Vicki Lynn Celozzi, LPC
• Wanda Sue Chafin
• Dana H Chamberlain, DDS
• Stacey Chapman, COTA/L

• Clinical Psychologist in Marion, VA
• Providers in Marion, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2011; 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.