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CHARLES WAYNE MCDONOUGH
NPI 1619540705
Nurse Practitioner - Psychiatric/Mental Health in Richmond, VA

Active since July 19, 2021
6714 PATTERSON AVE STE 204, RICHMOND, VA 23226(804) 282-3387 Get Directions Write a Review

NPPES record last updated: July 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Wayne Mcdonough NPPES

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

CHARLES WAYNE MCDONOUGH (NPI 1619540705) is an individual psychiatric/mental health provider in Richmond, Virginia, licensed in Virginia (0024182163) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1619540705
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameCHARLES WAYNE MCDONOUGH
Location Address6714 PATTERSON AVE STE 204Richmond, VA 23226-3432
Mailing Address9212 Shady Grove RdMechanicsville, VA 23116-2845 · (804) 873-9379
Phone(804) 282-3387
Sole ProprietorYes
Enumeration DateJuly 19, 2021
NPPES CertifiedJuly 19, 2021
✔ NPI 1619540705 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024182163
6714 PATTERSON AVE STE 204, Richmond, VA 23226
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Charles Mcdonough's NPI number?

The NPI number for Charles Mcdonough is 1619540705. It was assigned to this individual provider in the NPPES registry on July 19, 2021.

Where is Charles Mcdonough located?

Charles Mcdonough practices at 6714 Patterson Ave Ste 204, Richmond, VA 23226. The listed phone number is (804) 282-3387.

What is Charles Mcdonough's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Charles Mcdonough was last updated on July 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.