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SOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES
NPI 1134477060
Psychologist - Clinical in Gate City, VA

Active since August 27, 2012
142 W JACKSON ST, SUITE 101, GATE CITY, VA 24251(276) 386-2535 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Southwest Virginia Child Development Services NPPES

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

SOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES (NPI 1134477060) is a healthcare organization registered as a clinical in Gate City, Virginia and active in the NPI registry since August 2012. The organization lists Michael C Mcdonough, Licensed Clinical Psychologist/part, as its authorized official.

NPPES Registry Identity

NPI1134477060
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameSOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES
Location Address142 W JACKSON ST, SUITE 101Gate City, VA 24251-2929
Mailing Address142 W Jackson St, Suite 101Gate City, VA 24251-2929 · (276) 386-2535
Phone(276) 386-2535
Organization SubpartNo
Authorized OfficialMichael C McdonoughLicensed Clinical Psychologist/part · (276) 386-2534
Enumeration DateAugust 27, 2012
Last NPPES UpdateApril 12, 2013
✔ NPI 1134477060 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 · 2451
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 ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 0904004740 (VA)
142 W JACKSON ST, Gate City, VA 24251
Open in Google Maps ↗

Other Identifiers 1

Other1469VA · Business License Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Virginia Child Development Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southwest Virginia Child Development Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Mcdonough, LICENSED CLINICALPSY
Psychologist Billing Independently
NPI 1689960221
112 BEECH STREET SUITE 1A
Gate City, VA 24251
(276) 386-8012
0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Southwest Virginia Child Development Services's NPI number?

The NPI number for Southwest Virginia Child Development Services is 1134477060. It was assigned to this organization in the NPPES registry on August 27, 2012.

Where is Southwest Virginia Child Development Services located?

Southwest Virginia Child Development Services is located at 142 W Jackson St Suite 101, Gate City, VA 24251. The listed phone number is (276) 386-2535.

What is Southwest Virginia Child Development Services's specialty?

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

Is Southwest Virginia Child Development Services enrolled in Medicare?

Yes. Southwest Virginia Child Development Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Virginia Child Development Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Southwest Virginia Child Development Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southwest Virginia Child Development Services was last updated on April 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.