Active NPI
Christine McDowell Tucker, PHD
- Clinical Psychologist
- Charlottesville, VA
National Provider Identifier
1952350357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810001941
- Practice address
- 100 E South St
Suite 5
Charlottesville, VA 22902-5215 - Phone
- (434) 971-4747
- Fax
- (434) 293-4690
- NPI assigned
- May 10, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810001941 | VA | Primary |
Addresses
Primary practice location
100 E South St
Suite 5
Charlottesville, VA 22902-5215
Mailing address
100 E South St
Suite 5
Charlottesville, VA 22902-5215
Phone (434) 971-4747
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7704844 | Medicaid | VA | |
| 082060 | Other | SENTARA MENTAL HEALTH | |
| 173900 | Other | COMPSYCH | |
| 2179122 | Other | FIRST HEALTH | |
| 061336 | Other | ANTHEM BLUE CROSS | |
| 7704844 | Other | VIRGINIA PREMIER | |
| 254572000 | Other | MAGELLAN | |
| 344334 | Other | MHN | |
| 036808 | Other | VALUE OPTIONS | |
| 541758783 | Other | VIRGINIA HEALTH NETWORK |
Other names 1
- Christine L. McDowell
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)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatric Associates of the Shenandoah | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Waynesboro, VA
- NPI 1053360263
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233792000000",
"number": "1952350357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E SOUTH ST",
"address_2": "SUITE 5",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025215",
"telephone_number": "434-971-4747",
"fax_number": "434-293-4690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E SOUTH ST",
"address_2": "SUITE 5",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025215",
"telephone_number": "434-971-4747",
"fax_number": "434-293-4690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "CHRISTINE",
"middle_name": "MCDOWELL",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-10",
"last_updated": "2009-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810001941",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7704844",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA MENTAL HEALTH",
"identifier": "082060",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMPSYCH",
"identifier": "173900",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2179122",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "061336",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA PREMIER",
"identifier": "7704844",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "254572000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MHN",
"identifier": "344334",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "036808",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VIRGINIA HEALTH NETWORK",
"identifier": "541758783",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "MCDOWELL",
"middle_name": "L.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.