Active NPI
Ashley Mitchell-Roberts, PSYD
- Psychologist
- Danville, VA
National Provider Identifier
1922574078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 0810005999
- Practice address
- 321 Lynn St Ste a
Danville, VA 24541-1421 - Phone
- (434) 857-2459
- Fax
- (434) 857-2735
- NPI assigned
- Oct 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 0810005999 | VA | Primary |
Addresses
Primary practice location
321 Lynn St Ste a
Danville, VA 24541-1421
Mailing address
PO Box 154
Belews Creek, NC 27009-0154
Phone (336) 403-7708
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0810005999 | VA | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539648000000",
"number": "1922574078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 154",
"city": "BELEWS CREEK",
"state": "NC",
"postal_code": "270090154",
"telephone_number": "336-403-7708",
"fax_number": "434-857-2735"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "321 LYNN ST STE A",
"city": "DANVILLE",
"state": "VA",
"postal_code": "245411421",
"telephone_number": "434-857-2459",
"fax_number": "434-857-2735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MITCHELL-ROBERTS",
"first_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-16",
"last_updated": "2018-10-16",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "VA",
"license": "0810005999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Danville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.