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CENTER FOR MIND AND BODY HEALTH NPI 1316470503


NPI Information

NPI: 1316470503
Provider Name: CENTER FOR MIND AND BODY HEALTH
Classification: Psychologist - 103TH0004X
Entity Type: Organization

Specialization: Health

CLIA Number: 49D2153581

Address:
408 E MARKET ST
SUITE 201-B
CHARLOTTESVILLE, VA
ZIP 22902
Phone: (434) 566-0846
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CENTER FOR MIND AND BODY HEALTH is a health psychologist in Charlottesville, VA. The provider is a psychologist who specializes in clinical health psychology that investigates and implements clinical services across diverse populations and settings to promote health and well-being and to prevent, treat, and manage illness and disability. Clinical health psychology sees health as the confluence of psychological, social, cultural, and biological factors and applies this understanding to professional activities including:

  • CENTER FOR MIND AND BODY HEALTH NPI is 1316470503. The provider is registered as an organization entity type and is a multi-specialty group.

    The provider's business location address is:

    408 E MARKET ST
    SUITE 201-B
    CHARLOTTESVILLE, VA
    ZIP 22902-261
    Phone: (434) 566-0846
    Fax: (434) 202-5441

    The provider's authorized official is Vivian Marie Rodriguez Archilla .
    The authorized official title is Director, Clinical Psychologist and has the following contact phone number (434) 566-0846.

    The CLIA number assigned to this NPI record is 49D2153581 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

    The enumeration date for this NPI number is 4/5/2017 and was last updated on 4/5/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral0810005495VIRGINIANo
2103TC0700XPsychologistClinical0810005495VIRGINIANo
3261QM0850XClinic/CenterAdult Mental Health0810005495VIRGINIANo
4103TH0004XPsychologistHealth0810005495VIRGINIAYes

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: 4/28/2024

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