| Tucker Psychiatric Clinic Inc. | |
|
7149 Jahnke Rd Richmond VA 23225-4017 | |
| (804) 320-7881 | |
| (804) 320-2050 |
| Full Name | Tucker Psychiatric Clinic Inc. |
|---|---|
| Speciality | Counselor |
| Location | 7149 Jahnke Rd, Richmond, Virginia |
| Authorized Official Name and Position | David Gould (PRESIDENT) |
| Authorized Official Contact | 8043207881 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tucker Psychiatric Clinic Inc. 7149 Jahnke Rd Richmond VA 23225-4017 Ph: (804) 320-7881 | Tucker Psychiatric Clinic Inc. 7149 Jahnke Rd Richmond VA 23225-4017 Ph: (804) 320-7881 |
| NPI Number | 1003911256 |
|---|---|
| Provider Enumeration Date | 09/13/2006 |
| Last Update Date | 02/28/2008 |
| Medicare PECOS PAC ID | 9133018922 |
|---|---|
| Medicare Enrollment ID | O20040311000266 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003911256 | NPI | - | NPPES |
| Provider Name | Catherine B Thorne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396735619 PECOS PAC ID: 2567445687 Enrollment ID: I20040610000378 |
| Provider Name | Jesse Rabinowitz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952469009 PECOS PAC ID: 6608963806 Enrollment ID: I20071105000506 |
| Provider Name | Kate J Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073794285 PECOS PAC ID: 6901981414 Enrollment ID: I20080307000498 |
| Provider Name | Charles E Hall |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598973471 PECOS PAC ID: 2062582786 Enrollment ID: I20080605000817 |
| Provider Name | David W Gould |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629068077 PECOS PAC ID: 9335246982 Enrollment ID: I20100825001134 |
| Provider Name | Walter Stanley Jennings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629068242 PECOS PAC ID: 2961509518 Enrollment ID: I20100830001036 |
| Provider Name | Richard Earl Curtis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972593598 PECOS PAC ID: 2062519614 Enrollment ID: I20100901000054 |
| Provider Name | William D Kernodle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699765024 PECOS PAC ID: 9234236886 Enrollment ID: I20100901000074 |
| Provider Name | Robert L Seward |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063402600 PECOS PAC ID: 0042317695 Enrollment ID: I20100901000120 |
| Provider Name | Elliott J Spanier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770573396 PECOS PAC ID: 0143327791 Enrollment ID: I20100901000140 |
| Provider Name | Sharlene Patricia Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588747869 PECOS PAC ID: 6204095433 Enrollment ID: I20120308000002 |
| Provider Name | Jason Kudurogianis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205192077 PECOS PAC ID: 2567740269 Enrollment ID: I20171009001791 |
| Provider Name | Robin L Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144808833 PECOS PAC ID: 9032512868 Enrollment ID: I20210730001086 |
| Provider Name | James C Kwiatkowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225607906 PECOS PAC ID: 6608266812 Enrollment ID: I20211202001067 |
| Provider Name | Latasha Coett Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245018381 PECOS PAC ID: 8921458241 Enrollment ID: I20231229000241 |
| Provider Name | Philip M. Campbell |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1689078537 PECOS PAC ID: 6709224520 Enrollment ID: I20240329000456 |
| Provider Name | Kathi Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053302174 PECOS PAC ID: 2365435930 Enrollment ID: I20240419000610 |
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