Individual provider Active NPI

Erin Palmwood, PH.D.

  • Clinical Psychologist
  • Fredericksburg, VA
National Provider Identifier
1962017186
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810007103 Issued in VA
Practice address
615 Jefferson Davis Hwy Ste 101
Fredericksburg, VA 22401-8407
Phone
(540) 693-0096
NPI assigned
Sep 14, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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 0810007103 VA Primary

Addresses

Primary practice location

615 Jefferson Davis Hwy Ste 101
Fredericksburg, VA 22401-8407

Mailing address

1322 Hudgins Farm Cir
Fredericksburg, VA 22408-4175
Phone (609) 649-9347

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

State licenses

LicenseStateTypeSpecialty
0810007103VAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for the Treatment of Anxiety and Depression Current 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.

NPI Registry JSON

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1962017186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 HUDGINS FARM CIR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084175",
            "telephone_number": "609-649-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 JEFFERSON DAVIS HWY STE 101",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224018407",
            "telephone_number": "540-693-0096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMWOOD",
        "first_name": "ERIN",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2020; 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.