DR. REBECCA SMITH MCCRACKEN


Address: 4825 S Laburnum Ave, Richmond, VA 23231-2713
Phone: 8042222607

DR. REBECCA SMITH MCCRACKEN (NPI# 1366579609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366579609
Entity Type Individual
Full Name DR. REBECCA SMITH MCCRACKEN
Credential LCP
Practice Address 4825 S Laburnum Ave
Richmond
VA 23231-2713
Mailing Address 10299 Woodman Rd
Glen Allen
VA 23060-4419
Practice Telephone 8042222607
Practice Fax Number 8042369118
Mailing Telephone 8047278500
Mailing Fax Number 8047278580
Enumeration Date 2007-02-27
Last Update Date 2008-09-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
0810000204 VA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
VA ANTHEM 265680 01
VA OPTIMA O87144M 01
VA VIRGINIA PREMIER 4945131 01
VA MAMSI 7123398 01
VA MAMSI 216379 01

Other Providers REBECCA MCCRACKEN

NPI Name Taxonomy Address Enumeration
1265627871 Rebecca Lynn Mccracken Advanced Practice Midwife 258 High Ave, Nyack, NY 10960-2407 2007-09-07
1093825960 Rebecca Cristine Mccracken Physical Therapist 900 N Swallowtail Dr, Suite 107, Port Orange, FL 32129-6102 2006-08-30

Office Location

Street Address 4825 S LABURNUM AVE
City RICHMOND
State VA
Zip Code 23231-2713

Providers in the same location

NPI Name Taxonomy Address Enumeration
1568864189 Mirjam Bryan Physician Assistant 4825 S Laburnum Ave, Richmond, VA 23231-2713 2014-09-26
1467790618 Lindsay A Snead Social Worker 4825 S Laburnum Ave, Richmond, VA 23231-2713 2013-01-23
1699096057 Shannon Coughlin Garrett Nurse Practitioner 4825 S Laburnum Ave, Richmond, VA 23231-2713 2010-06-18
1750522371 Anne Blair Caldwell Social Worker 4825 S Laburnum Ave, Richmond, VA 23231-2713 2009-03-11
1528259181 Alexia Jeanine Gerczak Social Worker 4825 S Laburnum Ave, Richmond, VA 23231-2713 2007-08-07
1316155328 Annamaria Zita Moldovan Psychiatry & Neurology 4825 S Laburnum Ave, Richmond, VA 23231-2713 2007-05-21
1487786547 Edward Gilmour Hayes Social Worker 4825 S Laburnum Ave, Richmond, VA 23231-2713 2007-03-12
1114054467 Michael W. Nielsen Social Worker 4825 S Laburnum Ave, Richmond, VA 23231-2713 2007-02-27
1255475422 Brenda Ingram Dandridge Social Worker 4825 S Laburnum Ave, Richmond, VA 23231-2713 2007-02-19
1447394184 Pamela June Gardner-davis Registered Nurse 4825 S Laburnum Ave, Richmond, VA 23231-2713 2007-02-16
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114524766 Latoya Steward Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 805 Admiral Gravely Blvd, Richmond, VA 23231 2020-10-07
1548721160 Ray E Hill Jr. Non-emergency Medical Transport (VAN) 9469 Barrett Pl, Richmond, VA 23231 2019-03-27
1265922314 Bon Secours - Richmond Community Hospital, Incorporated Pediatrics 4744 Finlay St, Richmond, VA 23231 2018-05-15
1225371743 Vantage Point Community Supports, LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 8005 Diamond Ridge Court, Henrico, VA 23231 2013-04-03
1255586277 Bon Secours - Richmond Community Hospital, Incorporated Clinic/Center 4630 S. Laburnum Ave., Suite C, Richmond, VA 23231 2008-11-18
1407050982 Tawana Toneke Olds-davis Counselor 4305 Hillbrook Ave, Richmond, VA 23231 2007-06-11
1891814844 East End Pediatrics, P.C. Pediatrics 4744 Finlay Street, Richmond, VA 23231 2007-03-29
1235229113 Aunt Anns Home for Adolescents Counselor 5901 Almond Creek N Lane, Richmond, VA 23231 2006-10-13
1962500421 Virginia Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 5100 South Laburnum Ave Laburnum Sq, Richmond, VA 23231 2006-09-20
1043243546 Bon Secours-virginia Healthsource Family Medicine 4835 S Laburnum Ave, Richmond, VA 23231 2006-07-08
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144796731 A Step Forward Wellness Services LLC Psychologist 2002 Bremo Rd Ste 204, Richmond, VA 23226-2441 2018-10-22
1417435447 Erin D. Kurtz Psychologist 1201 Broad Rock Blvd # 116b, Richmond, VA 23249-0001 2018-08-01
1649762873 Caitlin Paige Campbell Psychologist 1201 Brock Road Blvd, Richmond, VA 23249-0001 2018-06-04
1689195141 Kimberly Knight Hilton Psychologist 2401 Hartman St, Richmond, VA 23223-2458 2017-07-05
1720511504 Marshall Psychological Services, LLC Psychologist 2800 N. Parham Road, Suite 107, Richmond, VA 23294 2017-04-07
1740732981 Howard Lloyd Psychologist 907 Floyd Ave, Richmond, VA 23284-9026 2016-11-03
1679929061 Elizabeth Meghan Archer Wheeler Psychologist 7400 Beaufort Springs Drive, Suite 300, Richmond, VA 23225-3039 2016-05-04
1730558909 Jodi Suzanne Couick Psychologist 3000 Parker Rd, Richmond, CA 94806-2742 2015-09-17
1386024461 Rosalie Corona Psychologist 4730 East Southside Plaza, Richmond, VA 23224 2015-06-04
1649677337 Yuriy Ustinov Psychologist 3 Baker St, Richmond, ME 04357-1387 2014-11-25
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 23231

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Dataset Information

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.

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