CENTRA MEDICAL GROUP, LLC
NPI 1649624164
Psychologist - Clinical Child & Adolescent in Lynchburg, VA

Active since April 21, 2016
2010 ATHERHOLT RD, LYNCHBURG, VA 24501(434) 200-5047 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Centra Medical Group, Llc NPPES

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

CENTRA MEDICAL GROUP, LLC (NPI 1649624164) is a healthcare organization registered as a clinical child & adolescent in Lynchburg, Virginia and active in the NPI registry since April 2016. The organization lists Joshua Larkin, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1649624164
Entity TypeOrganization
Primary Taxonomy103TC2200X
Legal Business NameCENTRA MEDICAL GROUP, LLC
Location Address2010 ATHERHOLT RDLynchburg, VA 24501-1106
Mailing Address2010 Atherholt RdLynchburg, VA 24501-1106 · (434) 200-5047
Organization SubpartNo
Authorized OfficialJoshua LarkinCredentialing Specialist · (434) 200-5047
Enumeration DateApril 21, 2016
NPI 1649624164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
Definition
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.
2010 ATHERHOLT RD, Lynchburg, VA 24501

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

Other Providers at the Same Location NPPES 5

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

Anesthesiology (Hospice and Palliative Medicine)
2010 ATHERHOLT RD
LYNCHBURG, VA 24501
Psychiatry & Neurology (Child & Adolescent Psychiatry)
2010 ATHERHOLT RD
LYNCHBURG, VA 24501
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2010 ATHERHOLT RD
LYNCHBURG, VA 24501
Family Medicine (Hospice and Palliative Medicine)
2010 ATHERHOLT RD
LYNCHBURG, VA 24501
Family Medicine
2010 ATHERHOLT RD
LYNCHBURG, VA 24501

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 Centra Medical Group, LLC's NPI number?

The NPI number for Centra Medical Group, LLC is 1649624164. It was assigned to this organization in the NPPES registry on April 21, 2016.

Where is Centra Medical Group, LLC located?

Centra Medical Group, LLC is located at 2010 Atherholt Rd, Lynchburg, VA 24501. The listed phone number is (434) 200-5047.

What is Centra Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

When was this NPI record last updated?

The NPPES record for Centra Medical Group, LLC was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.