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DR. VICTORIA PEZZULLO TATE PSYD, LCP
NPI 1427124825
Psychologist - Clinical in Charlottesville, VA

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
420 THIRD ST NE, CHARLOTTESVILLE, VA 22901(804) 519-7191(804) 744-2101 Get Directions Write a Review

NPPES record last updated: March 26, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Victoria Pezzullo Tate Psyd, Lcp NPPES

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

DR. VICTORIA PEZZULLO TATE PSYD, LCP (NPI 1427124825) is an individual clinical provider in Charlottesville, Virginia, licensed in Virginia (0810003679) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1427124825
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. VICTORIA PEZZULLO TATECredential: PSYD, LCP
Location Address420 THIRD ST NECharlottesville, VA 22901
Mailing Address17 Muirfield Green LnMidlothian, VA 23112-4517 · (804) 519-7191 · Fax (804) 744-2101
Phone(804) 519-7191
Fax(804) 744-2101
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateNovember 28, 2006
Last NPPES UpdateMarch 26, 2025
NPPES CertifiedMarch 26, 2025
✔ NPI 1427124825 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 · 0810003679
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 ListedClinical NeuropsychologistTaxonomy 103G00000X · License 0810003679 (VA)
420 THIRD ST NE, Charlottesville, VA 22901
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Other Identifiers 1

Other269349VA · Anthem

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Victoria Pezzullo Tate Psyd, Lcp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658449939
PECOS Enrollment IDI20081014000598
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Victoria Tate reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cs Pacs 3 Southeast, LLC
160 mi
Hospitalist
1600 BLAND ST
Bluefield, WV 24701
  • Reassigned Medicare billing, Virginia enrollment
  • 47 clinicians in this Medicare group
NPI 1154104958 (304) 327-2485
Virginia Pac Services PC
209 mi
Hospitalist
15051 HARMONY HILLS LN
Abingdon, VA 24211
  • Reassigned Medicare billing, Virginia enrollment
  • 67 clinicians in this Medicare group
NPI 1073042800 (865) 693-1000
Southeastern Physician Services PC
348 mi
Hospitalist
990 OAK RIDGE TPKE
Oak Ridge, TN 37830
  • Reassigned Medicare billing, Virginia enrollment
  • 62 clinicians in this Medicare group
NPI 1083835441 (865) 481-1000
Nv Pacs 2 LLC
2,026 mi
Hospitalist
10550 PARK RUN DR
Las Vegas, NV 89144
  • Reassigned Medicare billing, Virginia enrollment
  • 62 clinicians in this Medicare group
NPI 1427534809 (865) 693-1000

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

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
412 services379 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
30 services27 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
20 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$170.30 typical visit price
range $56.19 – $170.30
Typical copayment $42.57 (range $14.04 – $42.57)
Most-billed visit code 99205
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Victoria Tate's NPI number?

The NPI number for Victoria Tate is 1427124825. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Victoria Tate located?

Victoria Tate practices at 420 Third St NE, Charlottesville, VA 22901. The listed phone number is (804) 519-7191.

What is Victoria Tate's specialty?

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

Is Victoria Tate enrolled in Medicare?

Yes. Victoria Tate is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Victoria Tate's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Victoria Tate reassigns Medicare benefits to 4 organizations: Cs Pacs 3 Southeast, LLC (Bluefield, WV), Virginia Pac Services PC (Abingdon, VA), Southeastern Physician Services PC (Oak Ridge, TN) and Nv Pacs 2 LLC (Las Vegas, NV). Each 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 Victoria Tate's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Victoria Tate accept?

Health plans from Oscar Health list Victoria Tate as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Victoria Tate was last updated on March 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.