| Mountain View Psychology, Llc | |
|
328 Neff Ave Harrisonburg VA 22801-3429 | |
| (540) 433-2858 | |
| (540) 433-1175 |
| Full Name | Mountain View Psychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 328 Neff Ave, Harrisonburg, Virginia |
| Authorized Official Name and Position | Jess Gallaro (OFFICE MANAGER) |
| Authorized Official Contact | 5404332858 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mountain View Psychology, Llc 328 Neff Ave Harrisonburg VA 22801-3429 Ph: (540) 433-2858 | Mountain View Psychology, Llc 328 Neff Ave Harrisonburg VA 22801-3429 Ph: (540) 433-2858 |
| NPI Number | 1962746370 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 11/26/2012 |
| Medicare PECOS PAC ID | 5890949580 |
|---|---|
| Medicare Enrollment ID | O20130205000258 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962746370 | NPI | - | NPPES |
| Q39729A | Other | VA | MEDICARE PTAN |
| Q36959A | Other | VA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810004423 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810004403 (Virginia) | Primary |
| Provider Name | Maria W Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770856841 PECOS PAC ID: 9638334030 Enrollment ID: I20120710000737 |
| Provider Name | Jonathan N Rittenhouse |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427337278 PECOS PAC ID: 1557667813 Enrollment ID: I20171212002317 |
| Provider Name | Christine W Parrish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265944177 PECOS PAC ID: 1951660257 Enrollment ID: I20180112000499 |
| Provider Name | Derek C Ford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871871822 PECOS PAC ID: 4688065675 Enrollment ID: I20211230000664 |
| Provider Name | Traci R Ballou-broadnax |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235801614 PECOS PAC ID: 0042601940 Enrollment ID: I20220104001581 |
| Provider Name | Hyunjoo Shim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366287534 PECOS PAC ID: 5496293177 Enrollment ID: I20240813001096 |
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