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DR. KIM GORDON RAGSDALE PH.D.
NPI 1912963414
Psychologist - Clinical in Salem, VA

Active since April 24, 2006PECOS Enrolled
1970 ROANOKE BLVD, SALEM, VA 24153(540) 982-2463 Get Directions Write a Review

NPPES record last updated: September 28, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kim Gordon Ragsdale Ph.d. NPPES

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

DR. KIM GORDON RAGSDALE PH.D. (NPI 1912963414) is an individual clinical provider in Salem, Virginia, licensed in Virginia (0810001933) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912963414
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KIM GORDON RAGSDALECredential: PH.D.
Location Address1970 ROANOKE BLVDSalem, VA 24153-6404
Mailing Address1970 Roanoke BlvdSalem, VA 24153-6404 · (540) 982-2463
Phone(540) 982-2463
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateSeptember 28, 2010
✔ NPI 1912963414 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 · 0810001933
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.
1970 ROANOKE BLVD, Salem, VA 24153
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Other Identifiers 3

Medicaid0102408883VA
Other188408VA · Blue Cross
Medicare ID-Type Unspecified009720C90VA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Gordon Ragsdale Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24153 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.

Other Providers at the Same Location NPPES 20

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

MS. MALINDA FAYE SHELOR-ROGERS MSW, ACSW, LCSW
Social Worker (Clinical)
1970 ROANOKE BLVD, SALEM VA MEDICAL CENTER
SALEM, VA 24153
Salem City (540) 982-2463
DR. PETER LEWIS WILLS PHARM.D.
Pharmacist
1970 ROANOKE BLVD, DEPARTMENT 119
SALEM, VA 24153
Salem City (540) 982-2463
DR. JAMES PAARLBERG PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JENNA ST PIERRE PHARMD
Pharmacist
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
LAUREN HAGEMANN PH.D
Psychologist (Clinical)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
TANYA WILLARD NURSE PRACTITIONER
Nurse Practitioner (Family)
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
JOSETTE ANTOINE LPN
Licensed Practical Nurse
1970 ROANOKE BLVD
SALEM, VA 24153
Salem City (540) 982-2463
DR. JASBIR MAVI M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
1970 ROANOKE BLVD, VAMC SALEM
SALEM, VA 24153
Salem City (540) 982-2463

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 Kim Ragsdale's NPI number?

The NPI number for Kim Ragsdale is 1912963414. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Kim Ragsdale located?

Kim Ragsdale practices at 1970 Roanoke Blvd, Salem, VA 24153. The listed phone number is (540) 982-2463.

What is Kim Ragsdale's specialty?

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

Is Kim Ragsdale enrolled in Medicare?

Yes. Kim Ragsdale is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kim Ragsdale was last updated on September 28, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.