| James Madison University | |
|
250 Memorial Drive Suite B Luray VA 22835 | |
| (540) 568-1735 | |
| (540) 568-8866 |
| Full Name | James Madison University |
|---|---|
| Speciality | Psychologist |
| Location | 250 Memorial Drive, Luray, Virginia |
| Authorized Official Name and Position | Kris Christophel (CLINICAL BILLING COORDINATOR) |
| Authorized Official Contact | 5405682621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Madison University 755 Martin Luther King, Jr. Way Msc 9012 Harrisonburg VA 22801-0001 Ph: (540) 568-1735 | James Madison University 250 Memorial Drive Suite B Luray VA 22835 Ph: (540) 568-1735 |
| NPI Number | 1730642000 |
|---|---|
| Provider Enumeration Date | 04/12/2019 |
| Last Update Date | 04/12/2019 |
| Medicare PECOS PAC ID | 4880917475 |
|---|---|
| Medicare Enrollment ID | O20200121000225 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730642000 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy J Schulte |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255463840 PECOS PAC ID: 6507275047 Enrollment ID: I20210512002919 |
| Provider Name | Charles Lee Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386340545 PECOS PAC ID: 1850758525 Enrollment ID: I20230612001737 |
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