Dwight Townsend Colley, PSYD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810001762 Issued in VA

Practice address

175 S Pantops Dr
Charlottesville, VA 22911-8671

Phone

(434) 295-6445

Fax

(434) 296-1195

NPI assigned

Jul 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Chapman Senior Care, Inc.

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1669439691

  Clinical

  NPD (past)
• Kerry Leavitt Inc

  • Clinical Social Worker
  • Charlottesville, VA
  • NPI 1316180466
  NPD (past)
• Paul C Wilkins MD LLC

  • Psychiatry Physician
  • Charlottesville, VA
  • NPI 1669660700
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912938705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 S PANTOPS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118671",
            "telephone_number": "434-295-6445",
            "fax_number": "434-296-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 S PANTOPS DR",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118671",
            "telephone_number": "434-295-6445",
            "fax_number": "434-296-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLEY",
        "first_name": "DWIGHT",
        "middle_name": "TOWNSEND",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gabriel Colas
• Tiffany M Colavincenzo, AGACNP
• Shelly Lynn Cole, CRNA
• John Robert Coleman, MD
• Elizabeth Anne Coles, CRNA, MSN
• Lori Collier, RD
• Andrew Stuart Collins, MD
• Angela K Collins, FNP
• Brittani Collins, PHARMD
• James M Collins, PT

• All providers in Charlottesville, VA
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.