PIEDMONT PSYCHOLOGICAL SERVICES NPI 1104120294

NPI Information

  • NPI: 1104120294
  • Provider Name: PIEDMONT PSYCHOLOGICAL SERVICES
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • CLIA Number: 49D0231132
  • Address: 200B MILNWOOD RD
    FARMVILLE, VA
    ZIP 23901
  • Phone: (434) 315-8813

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NPI Details

PIEDMONT PSYCHOLOGICAL SERVICES is a clinical psychologist in Farmville, VA. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. PIEDMONT PSYCHOLOGICAL SERVICES NPI is 1104120294. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200B MILNWOOD RD
FARMVILLE, VA
ZIP 23901-817
Phone: (434) 315-8813
Fax: (434) 315-5913

The provider's authorized official is Lynn Carson Blackwood .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (434) 315-8813.

The CLIA number assigned to this NPI record is 49D0231132 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 1/4/2011 and was last updated on 1/4/2011.

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
1101YP2500XCounselorProfessional0701003954VIRGINIANo
2103TC0700XPsychologistClinical0810001049VIRGINIAYes

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: 11/21/2025

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