Credence Behavioral Health PLLC

Primary specialty

Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X

Legal business name

CREDENCE BEHAVIORAL HEALTH PLLC

Practice address

115 Wiggington Rd
Lynchburg, VA 24502-4619

Phone

(434) 253-0212

NPI assigned

Apr 6, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Sanket Rajaram Dhat, MDNPI 1164787701

Title

Ceo and Founder

Phone

(217) 381-4633

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sanket Rajaram Dhat, MD

  • Psychiatry Physician
  • Lynchburg, VA
  • NPI 1164787701
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly H. Buzzelli

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1063794212
  Medicare reassignment Care Compare group NPD
• Jasmine Mason, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1427629559
  Medicare reassignment Care Compare group NPD
• Brent Allison McCraw, LPC

  • Professional Counselor
  • Lynchburg, VA
  • NPI 1932865334
  Medicare reassignment Care Compare group NPD
• Catherine Raj, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lynchburg, VA
  • NPI 1093596959
  Medicare reassignment Care Compare group NPD
• Kimberly Wesley

  • Clinical Psychologist
  • Burke, VA
  • NPI 1174997712
  Medicare reassignment NPD

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685750400000",
    "number": "1912692096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14803 FOREST RD UNIT 2452",
            "city": "FOREST",
            "state": "VA",
            "postal_code": "245519052",
            "telephone_number": "434-253-0212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 WIGGINGTON RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245024619",
            "telephone_number": "434-253-0212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENCE BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-06-03",
        "certification_date": "2023-06-03",
        "status": "A",
        "authorized_official_last_name": "DHAT",
        "authorized_official_first_name": "SANKET",
        "authorized_official_middle_name": "RAJARAM",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "217-381-4633",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084B0040X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Crawford, LPC
• Gabrielle Monique Rhodes Crawford, FNP
• Megan Casey Crawford, FNP
• Jimmy Lowe Creamer Jr.
• Jessica Lynette Creasey
• Paula Deane Creekmore, NNP-BC
• Creekside Therapeutics
• Kelsie Barksdale Crenshaw
• David H Cresson Jr., M.D.
• Kimberly Anne Crews, RPRS

• Behavioral Neurology & Neuropsychiatry Physician in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Behavioral Neurology & Neuropsychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.