DR. VICTORIA PEZZULLO TATE (PSYD, LCP) – Clinical Psychologist, NPI 1427124825
Clinical Psychologist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
668 CLINICAL PSYCHOLOGIST in VA
Provider Addresses for DR. VICTORIA PEZZULLO TATE (PSYD, LCP)
420 THIRD ST NE
CHARLOTTESVILLE, VA 22901
Phone: (804) 519-7191
Fax: (804) 744-2101
Type: Location
17 MUIRFIELD GREEN LN
MIDLOTHIAN, VA 231124517
Phone: (804) 519-7191
Fax: (804) 744-2101
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-10-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081014000598 | I | Clinical Psychologist | VA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 402 | 379 | $0 |
| 90834 | Psychotherapy, 45 minutes | 23 | 23 | $0 |
Insurance plans in this area (ZIP 22901)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PSYCHOLOGIST, CLINICAL | VA | 96118 | Neuropsychological testing, interpretation, and report by psychologist or physician per hour | 97 | 14 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | KY | |
| Family Practice, Geriatric Medicine | KY | |
| Internal Medicine | NY | |
| Emergency Medicine, Internal Medicine | MS | |
| - | MO | |
| Family Practice, Hospitalist, Family Practice | FL | |
| Internal Medicine | TN | |
| Internal Medicine | SC | |
| Internal Medicine | NC | |
| - | TN |
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