Unknown Individual – Clinical Psychologist, NPI 1205818796

Unknown Individual is a healthcare provider. based in Richmond, Virginia. specializing in Clinical Psychologist. They hold a License No. 0810001968 (VA). The NPI Number for Unknown Individual is 1205818796

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205818796
Phone
(804) 264-0966
Address
5821 STAPLES MILL RD
Deactivation Date
17 January 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • Staples Mill Road, Richmond, Richmond City, Virginia, 23230, United States

    RICHMOND, VA 232285427

    Phone: (804) 264-0966

    Fax: (804) 264-1029

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23228)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1205818796 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Psychologist in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Richmond?
Unknown Individual currently maps to Richmond, Virginia in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

2305 N PARHAM RD
NPI: 1235137894

DR. LAURA ASHLEY TAYLOR (PH.D.)

Clinical Psychologist
6714, Patterson Avenue, Richmond, Richmond City, Virginia, 23226, United States
NPI: 1427042530

JEWISH FAMILY SERVICES, INC

Clinical Social Worker
6718, Patterson Avenue, Westhampton Heights, West End, Richmond, Virginia, 23226, United States
NPI: 1205823853

Unknown Individual

Clinical Psychologist
The Mall, Sheen, East Sheen, London Borough of Richmond upon Thames, London, Greater London, England, SW14 7EN, United Kingdom
NPI: 1073500575

HELEN M LATHROP (PSY. D)

Clinical Psychologist
7149, Jahnke Road, Westover Heights, Richmond, Virginia, 23225, United States
NPI: 1538150040

DR. CHARLOTTE B WATTS (PH.D.)

Clinical Psychologist
Staples Mill Road, Richmond, Richmond City, Virginia, 23230, United States
NPI: 1306821806

DR. PAULA JOAN JEAN (PHD)

Clinical Psychologist
1441 VILLAGE POND LN APT 1406
NPI: 1083687412

DR. MONICA K. SHAW (PH.D.)

Clinical Psychologist
10502 SANCREST RD
NPI: 1538134051

DR. JAMES BRUCE ANGSTER (PH.D.)

Clinical Psychologist
1891 BILLINGSGATE CIR
NPI: 1093783029