Individual provider Active NPI

Joseph Nagel, PH.D

  • Clinical Psychologist
  • Orange, VA
National Provider Identifier
1891897203
Registry record updated Dec 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001423 Issued in VA
Practice address
112 Belleview Ave
Orange, VA 22960-1402
Phone
(540) 672-0474
Fax
(540) 672-3029
NPI assigned
Sep 5, 2006
Last updated
Dec 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810001423 VA Primary

Addresses

Primary practice location

112 Belleview Ave
Orange, VA 22960-1402

Mailing address

112 Belleview Avenue
Orange, VA 22960
Phone (540) 672-0474

Other identifiers 6

IdentifierTypeStateIssuer
018876OtherVAVALUE OPTIONS
058364OtherVAANTHEM
7730357MedicaidVA
254505000OtherVAMAGELLAN
083057OtherVASENTARA
282456OtherVAMAMSI

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20101123000954 VA Practitioner - Clinical Psychologist 0446446967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
University of North Texas HSC, College of Osteopathic Med, 1984
Medicare assignment
May accept Medicare assignment
Group practices
Psychology Associates PCGroup PAC ID 0648464578, 2 clinicians

Practice addresses (Care Compare)

112 Belleview Ave
Orange, VA 22960-1402
Phone (540) 672-0474

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Psychology Associates PC Clinical CurrentSince Jan 12, 1991 Accepting new patients

Locations

112 Belleview Ave
Orange, VA 22960
Phone (540) 672-0474

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291766400000",
    "number": "1891897203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 BELLEVIEW AVENUE",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "22960",
            "telephone_number": "540-672-0474",
            "fax_number": "540-672-3029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 BELLEVIEW AVE",
            "city": "ORANGE",
            "state": "VA",
            "postal_code": "229601402",
            "telephone_number": "540-672-0474",
            "fax_number": "540-672-3029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGEL",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2010-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "018876",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "058364",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7730357",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "254505000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "083057",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "282456",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, VA

Sources for this page

Verify at the official NPI Registry.