| Insight Psychological Services, Pllc | |
|
2124 Jefferson Davis Hwy Suite 102 Stafford VA 22554-7264 | |
| (540) 419-2215 | |
| Not Available |
| Full Name | Insight Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2124 Jefferson Davis Hwy, Stafford, Virginia |
| Authorized Official Name and Position | Kathryn Shaw (MEMBER) |
| Authorized Official Contact | 5404192215 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insight Psychological Services, Pllc 2124 Jefferson Davis Hwy Suite 102 Stafford VA 22554-7264 Ph: (540) 419-2215 | Insight Psychological Services, Pllc 2124 Jefferson Davis Hwy Suite 102 Stafford VA 22554-7264 Ph: (540) 419-2215 |
| NPI Number | 1437567161 |
|---|---|
| Provider Enumeration Date | 07/25/2014 |
| Last Update Date | 07/25/2014 |
| Medicare PECOS PAC ID | 8729389739 |
|---|---|
| Medicare Enrollment ID | O20151216002423 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437567161 | NPI | - | NPPES |
| 1629378476 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004335 (Virginia) | Primary |
| Provider Name | Kathryn N Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629378476 PECOS PAC ID: 4183804784 Enrollment ID: I20110215000454 |
| Provider Name | Janice M Shabe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871551465 PECOS PAC ID: 6608143508 Enrollment ID: I20170524003011 |
| Provider Name | Donna E Depalma |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942338843 PECOS PAC ID: 5395006266 Enrollment ID: I20180312000349 |
| Provider Name | Deborah A Carver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235353111 PECOS PAC ID: 1254668957 Enrollment ID: I20190802001585 |
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