Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES CORP
NPI 1982333167
Psychologist - Clinical in Gate City, VA

Q: What is Southwest Virginia Child Development Services Corp's specialty?

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

Active since June 06, 2022

142 W JACKSON ST # 101, GATE CITY, VA 24251(276) 386-2534(276) 386-2535 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 2, 2026, Aug 29, 2022, Aug 1, 2022 and 1 more (4 updates tracked since 2022).

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About Southwest Virginia Child Development Services Corp NPPES

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

SOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES CORP (NPI 1982333167) is a healthcare organization registered as a clinical in Gate City, Virginia and active in the NPI registry since June 2022. The organization lists Micahel C Mcdonough, Licensed Clinical Psychologist, as its authorized official.

NPPES Registry Identity

NPI1982333167

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameSOUTHWEST VIRGINIA CHILD DEVELOPMENT SERVICES CORP

Location Address142 W JACKSON ST # 101Gate City, VA 24251-2929

Mailing Address142 W Jackson St # 101Gate City, VA 24251-2929 · (276) 386-2534 · Fax (276) 386-2535

Phone(276) 386-2534

Fax(276) 386-2535

Organization SubpartNo

Authorized OfficialMicahel C McdonoughLicensed Clinical Psychologist · (276) 386-2534

Enumeration DateJune 6, 2022

Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration

NPPES CertifiedOctober 2, 2026

✔ NPI 1982333167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

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.

142 W JACKSON ST # 101, Gate City, VA 24251

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southwest Virginia Child Development Services Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southwest Virginia Child Development Services Corp, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Mcdonough, LICENSED CLINICALPSY

Psychologist Billing Independently

NPI 1689960221

112 BEECH STREET SUITE 1A
Gate City, VA 24251

(276) 386-8012

0.4 mi

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 Southwest Virginia Child Development Services Corp's NPI number?

The NPI number for Southwest Virginia Child Development Services Corp is 1982333167. It was assigned to this organization in the NPPES registry on June 6, 2022.

Where is Southwest Virginia Child Development Services Corp located?

Southwest Virginia Child Development Services Corp is located at 142 W Jackson St # 101, Gate City, VA 24251. The listed phone number is (276) 386-2534.

What is Southwest Virginia Child Development Services Corp's specialty?

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

Is Southwest Virginia Child Development Services Corp enrolled in Medicare?

Yes. Southwest Virginia Child Development Services Corp is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southwest Virginia Child Development Services Corp?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychologist Billing Independently) reassigns their Medicare billing to Southwest Virginia Child Development Services Corp. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southwest Virginia Child Development Services Corp was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.