Individual provider Active NPI

Randy A. Rhoad, PSY.D.

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1942375977
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002751 Issued in VA
Practice address
640 Independence Pkwy Ste 100
Chesapeake, VA 23320-5205
Phone
(757) 420-0530
Fax
(757) 420-0488
NPI assigned
Nov 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0810002751 VA Primary

Addresses

Primary practice location

640 Independence Pkwy Ste 100
Chesapeake, VA 23320-5205

Mailing address

640 Independence Pkwy Ste 100
Chesapeake, VA 23320-5205
Phone (757) 420-0530

Other identifiers 3

IdentifierTypeStateIssuer
010062691MedicaidVA
00Y131C01OtherVAMEDICARE INDIVIDUAL PTAN
C10841OtherVAMEDICARE GROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040924000679 VA Practitioner - Clinical Psychologist 8224006416 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chesapeake Psychological Associates, LLCGroup PAC ID 8022155100, 6 clinicians

Practice addresses (Care Compare)

640 Independence Pkwy
Suite 100
Chesapeake, VA 23320-5205
Phone (757) 420-0530

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0810002751VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Chesapeake Psychological Associates, LLC Clinical CurrentSince Oct 21, 2009 Accepting new patients
Elizabeth McGinnis LPC LMFT LLC PastSince Nov 8, 2014 Accepting new patients
Comprehensive Psychological Services PastSince Apr 1, 2023 Accepting new patients

Locations

1435 Crossways Blvd
Ste 109
Chesapeake, VA 23320
Phone (757) 410-0072

640 Independence Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 420-0530

6465 College Park Sq
Ste 210
Virginia Beach, VA 23464
Phone (757) 336-8356

Interoperability endpoints

  • Direct secure messaging: randy.rhoad.1@24900.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/24900/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1942375977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 INDEPENDENCE PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205205",
            "telephone_number": "757-420-0530",
            "fax_number": "757-420-0488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 INDEPENDENCE PKWY STE 100",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233205205",
            "telephone_number": "757-420-0530",
            "fax_number": "757-420-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHOAD",
        "first_name": "RANDY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-22",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002751",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010062691",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "00Y131C01",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "C10841",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.