| Dr Christopher Michael Carusi, PHD | |
|
434 Mitchell Valley Drive, Marion, VA 24354-6338 | |
| (276) 783-7600 | |
| (276) 783-1802 |
| Full Name | Dr Christopher Michael Carusi |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 434 Mitchell Valley Drive, Marion, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689766784 | NPI | - | NPPES |
| 010186111 | Medicaid | VA | |
| 015148586 | Medicaid | VA | |
| 11525677 | Other | VA | CAQH |
| 179557 | Other | VA | ANTHEM |
| 1689766784 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810003040 (Virginia) | Primary |
| Entity Name | Heatherwood Counseling Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780614594 PECOS PAC ID: 9133100605 Enrollment ID: O20040528001201 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Christopher Michael Carusi, PHD 434 Mitchell Valley Drive, Marion, VA 24354-6338 Ph: (276) 783-7600 | Dr Christopher Michael Carusi, PHD 434 Mitchell Valley Drive, Marion, VA 24354-6338 Ph: (276) 783-7600 |
Dr. Ronald Christopher Qualls, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1204 N Main St, Marion, VA 24354 Phone: 276-783-2511 Fax: 276-783-2532 | |
Dr. Michelle L Melton, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 340 Bagley Cir, Marion, VA 24354 Phone: 276-783-0833 |