Active NPI
Kathleen J McCune, PH.D.
- Clinical Psychologist
- Mechanicsville, VA
National Provider Identifier
1891713822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810002014
- Practice address
- 9097 Atlee Station Rd
Suite 219
Mechanicsville, VA 23116-2525 - Phone
- (804) 730-2829
- NPI assigned
- Jul 17, 2006
- 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 | 0810002014 | VA | Primary |
Addresses
Primary practice location
9097 Atlee Station Rd
Suite 219
Mechanicsville, VA 23116-2525
Mailing address
9097 Atlee Station Rd
Suite 219
Mechanicsville, VA 23116-2525
Phone (804) 730-2829
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 137427 | Other | VA | ANTHEM BCBS |
| 007714785 | Other | MEDICAID PIN | |
| 117239000 | Other | VA | MAGELLAN |
| P00069232 | Other | RAILROAD MEDICARE PIN | |
| 086879M | Other | VA | SENTARA |
| 037046 | Other | VA | VALUE OPTIONS |
| 010094488 | Medicaid | VA | |
| 2125514 | Other | VA | ALLIANCE PPO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0810002014 | VA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Virginia Medical Group | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238371200000",
"number": "1891713822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9097 ATLEE STATION RD",
"address_2": "SUITE 219",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162525",
"telephone_number": "804-730-2829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9097 ATLEE STATION RD",
"address_2": "SUITE 219",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231162525",
"telephone_number": "804-730-2829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCUNE",
"first_name": "KATHLEEN",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-17",
"last_updated": "2009-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810002014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "137427",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID PIN",
"identifier": "007714785",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "117239000",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "P00069232",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "086879M",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "037046",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010094488",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLIANCE PPO",
"identifier": "2125514",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.