JAMES G KAVANAUGH JR. (NPI# 1154412344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154412344 |
| Entity Type | Individual |
| Full Name | JAMES G KAVANAUGH JR. |
| Credential | M.D. |
| Practice Address |
2215 Langhorne Rd Suite 104 Lynchburg VA 24501-1121 |
| Practice Telephone | 4344553047 |
| Practice Fax Number | 4349484918 |
| Mailing Telephone | 4344553047 |
| Mailing Fax Number | 4349484918 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
0101015836 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | ANTHEM BLUE SHIELD | 241919 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932283991 | James Douglas Kavanaugh | Dentist | 85 S Maple Ave, Basking Ridge, NJ 07920-1230 | 2006-10-25 |
| 1497857338 | James Michael Kavanaugh | Psychologist | 713 6th St, Las Vegas, NM 87701-4359 | 2006-09-01 |
| Street Address |
2215 LANGHORNE RD SUITE 104 |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24501-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962403857 | Antal E. Solyom | Psychiatry & Neurology | 2215 Langhorne Rd, Suite 104, Lynchburg, VA 24501-1121 | 2005-08-02 |
| 1659970564 | Allyson Rae-ausel Pearce | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-10-21 |
| 1679183289 | Joshua Kee | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-08-07 |
| 1700403466 | Shawnae Dike | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-06-29 |
| 1548880701 | Caitlin Taylor | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-04-17 |
| 1720615131 | Douglas G Poe | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-03-25 |
| 1497389191 | Natasha Spinner | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-03-03 |
| 1215560958 | Jenna Evans | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-02-21 |
| 1346871852 | Siobhan Oguntimehin | Marriage & Family Therapist | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-02-03 |
| 1295365229 | Melinda Dickinson | Counselor | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2020-01-17 |
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|---|---|---|---|---|
| 1720606957 | Evidence Based Counseling Solutions | Speech-Language Pathologist | 302 Oakley Ave, Lynchburg, VA 24501 | 2020-07-14 |
| 1740805506 | Ryan Buschmann | Physical Therapist | 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 | 2020-06-08 |
| 1528525276 | Julia M Mcauley-gonzalez | Nurse Practitioner | Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 | 2019-02-28 |
| 1548732795 | Morgan Rose Nails | Chiropractor | 3012 Forest Hills Circle, Lynchburg, VA 24501 | 2018-12-28 |
| 1407346935 | Belva Shelor | Psychologist | 1201 Floyd Street, Lynchburg, VA 24501 | 2018-05-10 |
| 1770092447 | Bio-medical Applications of Virginia, Inc. | Clinic/Center | 3204 Old Forest Rd, Lynchburg, VA 24501 | 2017-09-26 |
| 1447774518 | Restoring Peace Counseling Services | Clinic/Center | 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 | 2017-08-01 |
| 1427578335 | Vinh Thinh T Huynh | Family Medicine | 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 | 2017-06-21 |
| 1811436769 | Jordan Legendre | Student in an Organized Health Care Education/Training Program | 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 | 2017-02-13 |
| 1114465861 | Shanika Harris | Specialist/Technologist | 1501 Lakeside Drive, Lynchburg, VA 24501 | 2017-02-02 |
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| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831592369 | Onaiza Anees | Psychiatry & Neurology | 2215 Langhorne Rd, Lynchburg, VA 24501-1121 | 2014-09-29 |
| 1235480351 | Centra Health Professional Services, LLC | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2012-09-28 |
| 1083908958 | Jitendra Annapareddy | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2011-06-08 |
| 1134364151 | Namita Dhiman | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2008-12-04 |
| 1750547915 | Lakshman Sudhir Gandham | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503 | 2008-08-06 |
| 1154517670 | Tiffany Kuulei Niide | Psychiatry & Neurology | 2010 Atherholt Rd, Lynchburg, VA 24501-1106 | 2007-09-18 |
| 1609818293 | Centra Medical Group, LLC | Psychiatry & Neurology | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2006-06-11 |
| 1366443434 | Edward John Kuhnley | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-08-10 |
| 1699775593 | John L. Hendrickson | Psychiatry & Neurology | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902248073 | Tanvir Iqbal | Psychiatry & Neurology | 201 S Main St Ste 3400, Danville, VA 24541-2932 | 2013-07-18 |
| 1821364043 | Michael Kubelik Heck | Psychiatry & Neurology | 691 Berkmar Cir, Charlottesville, VA 22901-1464 | 2012-04-02 |
| 1831403864 | Neel Nene | Psychiatry & Neurology | 801 N Quincy St Ste 601, Arlington, VA 22203-1729 | 2010-08-02 |
| 1295048684 | My Psychiatrist, Plc | Psychiatry & Neurology | 12359 Sunrise Valley Dr Ste 320, Herndon, VA 20191-3463 | 2010-07-14 |
| 1023257979 | Kevin Michael Williams | Psychiatry & Neurology | 3737 Seminary Rd, Alexandria, VA 22304-5202 | 2009-02-17 |
| 1881854982 | John Paul Steg | Psychiatry & Neurology | 6760 Old Mclean Village Dr, Mc Lean, VA 22101-3906 | 2008-06-11 |
| 1336343516 | Nelson Lugo | Psychiatry & Neurology | 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 | 2007-06-12 |
| 1598973471 | Charles E Hall Iv | Psychiatry & Neurology | 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 | 2007-05-21 |
| 1699983692 | Heather Kilbride Henig | Psychiatry & Neurology | 11490 Commerce Park Dr Ste 420, Reston, VA 20191 | 2007-05-21 |
| 1104942754 | William Louis Licamele | Psychiatry & Neurology | 6760 Old Mclean Village Dr., Mclean, VA 22101-3906 | 2007-03-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.