DR. BEDE A.R. PANTAZE PHD NPI 1326005356

NPI Information

  • NPI: 1326005356
  • Provider Name: DR. BEDE A.R. PANTAZE, PHD
  • Classification: Psychologist - 103TC0700X
  • Specialization: Clinical
  • Entity Type: Individual
  • Address: 9702 GAYTON RD
    #181
    RICHMOND, VA
    ZIP 23238
  • Phone: (804) 741-7500

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NPI Details

DR. Bede A.r. Pantaze, PHD is a clinical psychologist in Richmond, 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. DR. Bede A.r. Pantaze, PHD NPI is 1326005356. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9702 GAYTON RD
#181
RICHMOND, VA
ZIP 23238-907
Phone: (804) 741-7500
Fax: (804) 741-7900

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychiatric diagnostic evaluation (HCPCS:90791)
  • Evaluation of psychological test, first hour (HCPCS:96130)

The enumeration date for this NPI number is 4/26/2006 and was last updated on 10/23/2019.

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
1103TC0700XPsychologistClinical0810002816VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1007712537MEDICAIDVIRGINIA
2245585OTHERVIRGINIABLUE CROSS PIN

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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