Organization Active NPI

Associates in Clinical Psychology and Psychotherapy, PC

  • Community/Behavioral Health Agency
  • Richmond, VA
National Provider Identifier
1922284512
Registry record updated Jan 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0810001243 Issued in VA
Legal business name
ASSOCIATES IN CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY, PC
Practice address
3108 N Parham Rd
Suite 200a
Richmond, VA 23294-4421
Phone
(804) 273-9687
Fax
(804) 270-0474
NPI assigned
Jan 14, 2008
Last updated
Jan 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2008

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

Authorized official

Name
Ms. Charlotte K Wenzel, PHDNPI 1609886241
Title
President
Phone
(804) 273-9687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0810001243 VA Primary

Addresses

Primary practice location

3108 N Parham Rd
Suite 200a
Richmond, VA 23294-4421

Mailing address

3108 N Parham Rd
Suite 200a
Richmond, VA 23294-4421
Phone (804) 273-9687

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081218000554 VA Part B Supplier - Clinic/Group Practice 2466415203 Receives reassigned benefits from 1 practitioner
Practice locations: Montpelier, VA

National Provider Directory

National Provider Directory

Locations

3108 N Parham Rd
Ste 200A
Richmond, VA 23294
Phone (804) 273-9687

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1922284512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 N PARHAM RD",
            "address_2": "SUITE 200A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944421",
            "telephone_number": "804-273-9687",
            "fax_number": "804-270-0474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 N PARHAM RD",
            "address_2": "SUITE 200A",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232944421",
            "telephone_number": "804-273-9687",
            "fax_number": "804-270-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN CLINICAL PSYCHOLOGY AND PSYCHOTHERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-14",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "WENZEL",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-273-9687",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "0810001243",
            "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 Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.