VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT PLLC NPI 1164596888

NPI Information

NPI: 1164596888
Provider Name: VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
3212 SKIPWITH RD
SUITE 104
RICHMOND, VA
ZIP 23294
Phone: (804) 308-9133
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VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC is a mental health (including community mental health center) clinic center in Richmond, VA. VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC NPI is 1164596888. The provider is registered as an organization entity type.

The provider's business location address is:

3212 SKIPWITH RD
SUITE 104
RICHMOND, VA
ZIP 23294-413
Phone: (804) 308-9133
Fax: (804) 273-0851

The provider's authorized official is Vicki Van Cleave .
The authorized official title is Clinical Psychologist - Director and has the following contact phone number (804) 308-9133.

The enumeration date for this NPI number is 11/17/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0830003638	VIRGINIA	Yes
2	261QM0850X	Clinic/Center	Adult Mental Health	0810003638	VIRGINIA	X
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	0810003638	VIRGINIA	X
4	103TC0700X	Psychologist	Clinical	0810003638	VIRGINIA	X
5	103TC0700X	Psychologist	Clinical	324	MONTANA	X
6	103TC0700X	Psychologist	Clinical	2472	COLORADO	X

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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