Active NPI
Anna Docherty, PH.D.
- Clinical Psychologist
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005400
- Practice address
- 800 E Leigh St
1P-132 Biotech One
Richmond, VA 23219-1551 - Phone
- (612) 227-2754
- NPI assigned
- Mar 24, 2016
- Sex
- Female
- Sole proprietor
- No
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 Psychologist | 103TC0700X | 0810005400 | VA | Primary |
Addresses
Primary practice location
800 E Leigh St
1P-132 Biotech One
Richmond, VA 23219-1551
Mailing address
800 E Leigh St
1P-132 Biotech One
Richmond, VA 23219-1551
Phone (612) 227-2754
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adocherty215263@direct.med.utah.edu | Direct | University of Utah |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- 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, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 E 100
Suite 500
Salt Lake City, UT 84102-4210
Phone (801) 585-2121
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.22 of 100
- Quality
- 83.74
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 66.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005400 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Pediatric Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Pediatric Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Pediatric Behavioral Health Services | Current | Accepting new patients | |
| University of Utah Behavioral Health Services | Current | Accepting new patients | |
| University of Utah | Past | Accepting new patients |
Locations
291 S 200 W
Farmington, UT 84025
Phone (801) 213-3200
525 E 100 S
Ste 500
Salt Lake City, UT 84102
Phone (801) 519-7190
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
501 S Chipeta Way
Slc, UT 84108
Phone (801) 581-7951
Interoperability endpoints
- adocherty215263@direct.med.utah.edu
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1740688613
-
- Developmental - Behavioral Pediatrics Physician
- Salt Lake City, UT
- NPI 1649631599
-
- Psychiatry Physician
- Salt Lake City, UT
- NPI 1265837223
-
- Sports Medicine (Psychiatry & Neurology) Physician
- Salt Lake City, UT
- NPI 1740158955
-
- Sports Medicine (Psychiatry & Neurology) Physician
- Salt Lake City, UT
- NPI 1467320671
-
- Adolescent and Children Mental Health Clinic/Center
- Salt Lake City, UT
- NPI 1528413531
-
- General Acute Care Hospital
- Salt Lake City, UT
- NPI 1699889576
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638489600000",
"number": "1760844161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 E LEIGH ST",
"address_2": "1P-132 BIOTECH ONE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191551",
"telephone_number": "612-227-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 E LEIGH ST",
"address_2": "1P-132 BIOTECH ONE",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232191551",
"telephone_number": "612-227-2754"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOCHERTY",
"first_name": "ANNA",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-24",
"last_updated": "2021-12-03",
"certification_date": "2021-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005400",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adocherty215263@direct.med.utah.edu",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.