Provider Demographics
NPI:1407351752
Name:CENTRAL VIRGINIA PSYCHOLGICAL SERVICES
Entity Type:Organization
Organization Name:CENTRAL VIRGINIA PSYCHOLGICAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHAD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:434-218-2424
Mailing Address - Street 1:5556 HOLMAN DR
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-2556
Mailing Address - Country:US
Mailing Address - Phone:434-218-2424
Mailing Address - Fax:
Practice Address - Street 1:675 PETER JEFFERSON PKWY STE 130
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22911-8618
Practice Address - Country:US
Practice Address - Phone:434-218-2424
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0810005227261QM0850X, 261QM0855X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health