Provider Type Icon

POEHAILOS DUPONT & ASSOC NPI 1336244201


NPI Information

NPI: 1336244201
Provider Name: POEHAILOS DUPONT & ASSOC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
887B RIO EAST COURT
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 220-4686
Get Directions

POEHAILOS DUPONT & ASSOC is a counselor in Charlottesville, VA. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. POEHAILOS DUPONT & ASSOC NPI is 1336244201. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

887B RIO EAST COURT
CHARLOTTESVILLE, VA
ZIP 22901
Phone: (434) 220-4686
Fax: (434) 220-4687

The provider's authorized official is Philip D Dupont .
The authorized official title is Manager and has the following contact phone number (434) 220-4686.

The enumeration date for this NPI number is 9/14/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101Y00000XCounselor0701002481VIRGINIAYes
2103TC2200XPsychologistClinical Child & Adolescent0810001910VIRGINIAX
3103TC2200XPsychologistClinical Child & Adolescent0810002135VIRGINIAX
4103T00000XPsychologist0810002867VIRGINIAX
51041C0700XSocial WorkerClinical0904003837VIRGINIAX
61041C0700XSocial WorkerClinical0904000547VIRGINIAX
71041C0700XSocial WorkerClinical0904006301VIRGINIAX
82084P0800XPsychiatry & NeurologyPsychiatry0101233438VIRGINIAX
92084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry0101047223VIRGINIAX

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101YP2500XOTHERVIRGINIAPSYCHOLOGIST CHILD, YOUTH

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.