Klaire T. Mundy, PSY D

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

081003938 Issued in VA

Practice address

3959 Electric Rd
Suite 454
Roanoke, VA 24018-4559

Phone

(540) 529-9573

Fax

(540) 269-4365

NPI assigned

Apr 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Appalachian Counseling Center PC

  • Clinical Neuropsychologist
  • Roanoke, VA
  • NPI 1225339047
  NPD (past)

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

{
    "created_epoch": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1871768903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD",
            "address_2": "SUITE 454",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184559",
            "telephone_number": "540-529-9573",
            "fax_number": "540-269-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3959 ELECTRIC RD",
            "address_2": "SUITE 454",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240184559",
            "telephone_number": "540-529-9573",
            "fax_number": "540-269-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNDY",
        "first_name": "KLAIRE",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "PSY D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "081003938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Lynn Mullins, PHARMD
• Larry N Mullins, RPH
• Sarah Mullins, ACNP-AG
• Roger Eugene Mumpower, PHARMACIST
• Mundy Psychological Services
• Thomas J Munro, MD
• Melissa Nicole Munroe, M.D.
• Keith D Munson, M.D.
• Bharath Muppala, MD
• Maciej Muranowski

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.