Jennifer Carolyn Plumb Vilardaga, PH.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

5044 Issued in NC

Practice address

2200 W Main St Ste 340
Durham, NC 27705-4677

Phone

(919) 416-3439

NPI assigned

Jun 19, 2013

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Clinical Psychologist

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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

• JPV Contextual Consulting, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chapel Hill, NC
  • NPI 1447026398
  Medicare reassignment NPD Authorized official
• Private Diagnostic Clinic, PLLC

  dba Psychiatry Erwin Square

  • Psychologist
  • Durham, NC
  • NPI 1093265241
  NPD (past)

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912346339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 W MAIN ST STE 340",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 W MAIN ST STE 340",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054677",
            "telephone_number": "919-416-3439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1660 S Columbian Way # 116-Mhc",
            "address_2": "VA Puget Sound Medical Center",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981081532",
            "country_code": "US",
            "telephone_number": "206-277-1183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLUMB VILARDAGA",
        "first_name": "JENNIFER",
        "middle_name": "CAROLYN",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "PY60393656",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NC",
            "license": "5044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kay Plichta, MD
• Ryan Patrick Plichta, M.D.
• Sarah J Plimpton, DPT
• Shanna Plotkin-Dubro
• Melissa Plum, MSW LCSW
• Alexandra Marie Plumb, FNP
• Plume Health, PC
• Samuel Tyler Plumer, PHARMD
• Nicole Roxanne Plummer, LCSWA
• Sarah Tyler Plummer, MD

• Clinical Psychologist in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Psychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.

Verify at the official NPI Registry.