1. Home
  2. Directory
  3. Virginia
  4. Gate City
  5. Psychologist
  6. NPI Profile

DR. MICHAEL C MCDONOUGH LICENSED CLINICALPSY
NPI 1689960221
Psychologist - Clinical in Gate City, VA

Active since June 22, 2011
112 BEECH STREET, SUITE 1A, GATE CITY, VA 24251(276) 386-8012 Get Directions Write a Review

NPPES record last updated: April 12, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael C Mcdonough Licensed Clinicalpsy NPPES

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

DR. MICHAEL C MCDONOUGH LICENSED CLINICALPSY (NPI 1689960221) is an individual clinical provider in Gate City, Virginia, licensed in Virginia (2451) and active in the NPI registry since June 2011. He is a graduate of Other (1996).

NPPES Registry Identity

NPI1689960221
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. MICHAEL C MCDONOUGHCredential: LICENSED CLINICALPSY
Location Address112 BEECH STREET, SUITE 1AGate City, VA 24251
Mailing Address1447 Glenmar AveMt Carmel, TN 37645-3026 · (276) 690-5535 · Fax (276) 386-2116
Phone(276) 386-8012
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateJune 22, 2011
Last NPPES UpdateApril 12, 2013
✔ NPI 1689960221 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
112 BEECH STREET, Gate City, VA 24251
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael C Mcdonough Licensed Clinicalpsy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID941469506
PECOS Enrollment IDI20120913000444

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Mcdonough reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southwest Virginia Child Development Services
0.4 mi
Clinical
142 W JACKSON ST, SUITE 101
Gate City, VA 24251
  • Reassigned Medicare billing, Virginia enrollment
NPI 1134477060 (276) 386-2535
Southwest Virginia Child Development Services Corp
0.4 mi
Clinical
142 W JACKSON ST # 101
Gate City, VA 24251
  • Reassigned Medicare billing, Virginia enrollment
NPI 1982333167 (276) 386-2534
Southwest Virginia Child Development Services Corp
0.4 mi
Clinical
142 W JACKSON ST # 101
Gate City, VA 24251
  • Reassigned Medicare billing, Virginia enrollment
NPI 1982333167 (276) 386-2534

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 Michael Mcdonough's NPI number?

The NPI number for Michael Mcdonough is 1689960221. It was assigned to this individual provider in the NPPES registry on June 22, 2011.

Where is Michael Mcdonough located?

Michael Mcdonough practices at 112 Beech Street Suite 1A, Gate City, VA 24251. The listed phone number is (276) 386-8012.

What is Michael Mcdonough's specialty?

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

Is Michael Mcdonough enrolled in Medicare?

Yes. Michael Mcdonough is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Mcdonough's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mcdonough reassigns Medicare benefits to 3 organizations: Southwest Virginia Child Development Services (Gate City, VA), Southwest Virginia Child Development Services Corp (Gate City, VA) and Southwest Virginia Child Development Services Corp (Gate City, VA). 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 Michael Mcdonough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Mcdonough accept?

Health plans from BlueCross BlueShield of Tennessee list Michael Mcdonough 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 Michael Mcdonough 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.