CENTER FOR MIND AND BODY HEALTH (NPI# 1316470503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316470503 |
| Entity Type | Organization |
| Organization Name | CENTER FOR MIND AND BODY HEALTH |
| Practice Address |
408 E Market St Suite 201-b Charlottesville VA 22902-5261 |
| Mailing Address |
2174 Whispering Hollow Ln Charlottesville VA 22911-3590 |
| Practice Telephone | 4345660846 |
| Practice Fax Number | 4342025441 |
| Mailing Telephone | 4345660846 |
| Mailing Fax Number | 4342025441 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | DR. VIVIAN MARIE RODRIGUEZ ARCHILLA (DIRECTOR, CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4345660846 |
| Authorized Official Credential | PHD, LCP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
0810005495 | VA | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810005495 | VA | Behavioral Health & Social Service Providers |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0810005495 | VA | Ambulatory Health Care Facilities |
| Y | 103TH0004X |
Psychologist Specialization: Health |
0810005495 | VA | Behavioral Health & Social Service Providers |
| Street Address |
408 E MARKET ST SUITE 201-B |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22902-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780668616 | Benegal Spencer Paige Sr. | Dentist | 408 E Market St, Ste 206, Charlottesville, VA 22902-5261 | 2005-12-05 |
| 1356889471 | Vivian Marie Rodriguez Archilla | Psychologist | 408 E Market St, Suite 201-b, Charlottesville, VA 22902-5261 | 2017-02-09 |
| 1427430313 | The Epiphany Center | Counselor | 408 E Market St, Suite 201b #2, Charlottesville, VA 22902-5261 | 2015-06-26 |
| 1851733927 | Allison Brooke Keisler Splaun | Psychologist | 408 E Market St, Suite 201b #1, Charlottesville, VA 22902-5261 | 2013-07-18 |
| 1699035857 | Christy Pagels | Counselor | 408 E Market St, Suite 201b #3, Charlottesville, VA 22902-5261 | 2012-05-22 |
| 1154540805 | Franklin A Cerrone, Od | Optometrist | 408 E Market St, Suite 105, Charlottesville, VA 22902-5261 | 2007-04-24 |
| 1790739001 | Franklin A. Cerrone | Optometrist | 408 E Market St, Suite 105, Charlottesville, VA 22902-5261 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699263608 | Jeraline Rachele Evans | Health Educator | 151 Mcintire Park Dr. (piedmont Family Ymca), Charlottesville, VA 22902 | 2018-04-25 |
| 1457853905 | Elizabeth Blaker Tyson Walter | Speech-Language Pathologist | 401 Mcintire Rd. Room 323, Charlottesville, VA 22902 | 2018-03-01 |
| 1376056317 | Erin E Horn | Psychologist | 302 Park St Ste 204, Charlottesville, VA 22902 | 2017-11-13 |
| 1023429982 | Barrie Gleason Carveth | Nurse Practitioner | 435 Merchant Walk Sq, Charlottesville, VA 22902 | 2014-05-14 |
| 1285054825 | Alfred N. Yarbrough | Dentist | 1101 East Jefferson Street, Suite 7, Charlottesville, VA 22902 | 2014-04-22 |
| 1801227400 | Fox & Brantley Internal Medicine, A Division of Anchor Healthcare, Plc | Internal Medicine | 908 E Jeffeson St, Suite G1, Charlottesville, VA 22902 | 2013-12-06 |
| 1245557982 | Wendy Price Summer | Counselor | 509 Park Street, Charlottesville, VA 22902 | 2010-04-20 |
| 1659520914 | Christie Marie Savage | Acupuncturist | 108 5th St Se, Suite 207, Charlottesville, VA 22902 | 2008-09-11 |
| 1376733063 | Alison C. Derbes | Radiology | 107 S 1st St, Apartment 401, Charlottesville, VA 22902 | 2007-07-28 |
| 1275732901 | Cali Belknap Gaston | Acupuncturist | 420 Third Street, Ne, Charlottesville, VA 22902 | 2007-07-12 |
| Find all providers in zip 22902 | ||||
| Taxonomy Code | 103TH0004X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Health |
| The distinct focus of the clinical health psychologist is on physical health problems. A clinical health psychologist has special expertise or training in clinical health psychology and applies scientific knowledge of the interrelationships among behavioral, emotional, cognitive, social and biological components in health and disease to the promotion and maintenance of health; the prevention, treatment and rehabilitation of illness and disability; and the improvement of the health care system. Clinical health psychologists are dedicated to the development of knowledge regarding the interface between behavior and health, and to the delivery of high quality services based on that knowledge to individuals, families, and health care. |
| Notes: Source: American Psychological Association Commission for the Recognition of Specialties and Proficiencies in Professional Psychology, 2008. [1/1/2007: new, 7/1/2008: definiton added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003089012 | Mary Y Brinkmeyer | Psychologist | 620 John Paul Jones Cir, Naval Medical Center, Portsmouth, VA 23708-2111 | 2008-04-10 |
| City | CHARLOTTESVILLE |
| Zip Code | 22902 |
Please comment or provide details below to improve the information on CENTER FOR MIND AND BODY HEALTH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.