Active NPI
Nino Chkhaidze, LCP
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1891282828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005923
- Practice address
- 1410 Incarnation Dr # 205
Charlottesville, VA 22901-5708 - Phone
- (434) 293-4262
- NPI assigned
- Apr 16, 2018
- 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 | 0810005923 | VA | Primary |
Addresses
Primary practice location
1410 Incarnation Dr # 205
Charlottesville, VA 22901-5708
Mailing address
116 Loma LN
Charlottesville, VA 22902-6430
Phone (540) 209-0490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- 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, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
245 Mount Rose St
Reno, NV 89509-3355
Phone (775) 448-6828
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005923 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| G D Shoenberger, Inc. | Clinical | Current | Accepting new patients |
| Health Psychology Associates LLC | Current | Accepting new patients |
Locations
245 Mount Rose St
Reno, NV 89509
Phone (775) 448-6828
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 and National Provider Directory roles.
-
- Marriage & Family Therapist
- Reno, NV
- NPI 1366836702
-
- Clinical Psychologist
- Reno, NV
- NPI 1487999579
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523836800000",
"number": "1891282828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 LOMA LN",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229026430",
"telephone_number": "540-209-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 INCARNATION DR # 205",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229015708",
"telephone_number": "434-293-4262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHKHAIDZE",
"first_name": "NINO",
"name_prefix": "Dr.",
"credential": "LCP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-16",
"last_updated": "2018-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005923",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2018; 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.