Southwest Virginia Child Development Services Corp

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

SOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES CORP

Practice address

142 W Jackson St # 101
Gate City, VA 24251-2929

Phone

(276) 386-2534

Fax

(276) 386-2535

NPI assigned

Jun 6, 2022

Last updated

Oct 2, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Micahel C McDonough, ED.D

Title

Licensed Clinical Psychologist

Phone

(276) 386-2534

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA2 enrollments

Enrollment records 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael C McDonough, LICENSED CLINICALPSY

  • Clinical Psychologist
  • Gate City, VA
  • NPI 1689960221
  Medicare reassignment NPD

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

{
    "created_epoch": "1654473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790899200000",
    "number": "1982333167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W JACKSON ST # 101",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242512929",
            "telephone_number": "276-386-2534",
            "fax_number": "276-386-2535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W JACKSON ST # 101",
            "city": "GATE CITY",
            "state": "VA",
            "postal_code": "242512929",
            "telephone_number": "276-386-2534",
            "fax_number": "276-386-2535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-06",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A",
        "authorized_official_last_name": "MCDONOUGH",
        "authorized_official_first_name": "MICAHEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LICENSED CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "276-386-2534",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Dorton Smith
• Lester Earl Smith Sr.
• Lester Earl Smith Jr.
• Roderick Malcolm Smith
• Southwest Virginia Child Development Services
• Templeton Dentistry, PC
• Therapy Innovations Inc (1St Step Rehab)
• Kayla Brooke Tiller, MS CCC-SLP
• Karen Bryant Valk, FNP
• Virginia CVS Pharmacy LLC (CVS Pharmacy # 07343)

• Clinical Psychologist in Gate City, VA
• Providers in Gate City, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; 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.