Organization Active NPI

Mountain View Psychology, LLC

  • Clinical Psychologist
  • Harrisonburg, VA
National Provider Identifier
1962746370
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810004403 Issued in VA
Legal business name
MOUNTAIN VIEW PSYCHOLOGY, LLC
Practice address
328 Neff Ave
Harrisonburg, VA 22801-3429
Phone
(540) 433-2858
Fax
(540) 433-1175
NPI assigned
Nov 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Authorized official

Name
Jess Gallaro
Title
Office Manager
Phone
(540) 433-2858

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810004403 VA Primary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810004423 VA

Addresses

Primary practice location

328 Neff Ave
Harrisonburg, VA 22801-3429

Mailing address

328 Neff Ave
Harrisonburg, VA 22801-3429
Phone (540) 433-2858

Other identifiers 2

IdentifierTypeStateIssuer
Q39729AOtherVAMEDICARE PTAN
Q36959AOtherVAMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130205000258 VA Part B Supplier - Clinic/Group Practice 5890949580 Receives reassigned benefits from 5 practitioners
Practice locations: Harrisonburg, VA

National Provider Directory

National Provider Directory

Locations

370 Neff Ave
Ste L
Harrisonburg, VA 22801
Phone (540) 433-2858

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1962746370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 NEFF AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013429",
            "telephone_number": "540-433-2858",
            "fax_number": "540-433-1175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 NEFF AVE",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "228013429",
            "telephone_number": "540-433-2858",
            "fax_number": "540-433-1175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PSYCHOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-26",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "GALLARO",
        "authorized_official_first_name": "JESS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "540-433-2858"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004403",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810004423",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q39729A",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "Q36959A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; 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.