Individual provider Active NPI

Donyetta Calhoun Bryson, ED.D.

  • School Psychologist
  • Richmond, VA
National Provider Identifier
1912423583
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
0813000891 Issued in VA
Practice address
302 Azalea Ave
Richmond, VA 23227-3634
Phone
(804) 228-2710
NPI assigned
Aug 16, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Psychologist 103TS0200X 0813000891 VA Primary

Addresses

Primary practice location

302 Azalea Ave
Richmond, VA 23227-3634

Mailing address

PO Box 23120
Richmond, VA 23223-0420

Other practice location 1

701 Forest Ave
Henrico, VA 23229-6811
Phone (804) 673-3765

Other practice location 2

12200 Wyndham Lake Dr
Glen Allen, VA 23059-5495
Phone (804) 360-0825

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0813000891VAMDSchool Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1912423583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232230420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 AZALEA AVE",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232273634",
            "telephone_number": "804-228-2710"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232296811",
            "country_code": "US",
            "telephone_number": "804-673-3765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12200 Wyndham Lake Dr",
            "address_purpose": "LOCATION",
            "city": "Glen Allen",
            "state": "VA",
            "postal_code": "230595495",
            "country_code": "US",
            "telephone_number": "804-360-0825",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRYSON",
        "first_name": "DONYETTA",
        "middle_name": "CALHOUN",
        "name_prefix": "Mrs.",
        "credential": "ED.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "VA",
            "license": "0813000891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.