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NASTASSJA MARSHALL PHD
NPI 1093194664
Psychologist - Clinical in Richmond, VA

Active since May 28, 2015Opted out of Medicare · through Jun 1, 2028
3111 NORTHSIDE AVE STE 101, RICHMOND, VA 23228(917) 753-7593 Get Directions Write a Review

NPPES record last updated: September 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nastassja Marshall Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NASTASSJA MARSHALL PHD (NPI 1093194664) is an individual clinical provider in Richmond, Virginia, licensed in Virginia (0810005475) and active in the NPI registry since May 2015. She has opted out of Medicare through June 1, 2028.

NPPES Registry Identity

NPI1093194664
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameNASTASSJA MARSHALLCredential: PHD
Location Address3111 NORTHSIDE AVE STE 101Richmond, VA 23228-5441
Mailing Address3003 Parkwood Ave Apt 106Richmond, VA 23221-3519 · (917) 753-7593
Phone(917) 753-7593
Sole ProprietorNo
Enumeration DateMay 28, 2015
Last NPPES UpdateSeptember 11, 2018
✔ NPI 1093194664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in VA · 0810005475
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3111 NORTHSIDE AVE STE 101, Richmond, VA 23228
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nastassja Marshall Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 1, 2024 through June 1, 2028.

Opt-Out Effective DateJune 1, 2024
Opt-Out In Effect ThroughJune 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MDK LLC
Clinic/Center (Adult Mental Health)
3111 NORTHSIDE AVE STE 101
HENRICO, VA 23228
Henrico County (804) 366-4330
MDK LLC
Clinic/Center (Adult Mental Health)
3111 NORTHSIDE AVE STE 101
HENRICO, VA 23228
Henrico County (804) 366-4330
AMY TOLER SMALL LPC
Counselor (Professional)
3111 NORTHSIDE AVE STE 101
HENRICO, VA 23228
Henrico County (804) 617-4361

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nastassja Marshall's NPI number?

The NPI number for Nastassja Marshall is 1093194664. It was assigned to this individual provider in the NPPES registry on May 28, 2015.

Where is Nastassja Marshall located?

Nastassja Marshall practices at 3111 Northside Ave Ste 101, Richmond, VA 23228. The listed phone number is (917) 753-7593.

What is Nastassja Marshall's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Nastassja Marshall enrolled in Medicare?

No. Nastassja Marshall has opted out of Medicare through June 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Nastassja Marshall was last updated on September 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.