Mary M Churchill (NPI# 1174543284, PAC ID# 4486923083) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL PSYCHOLOGIST.
| Nation Provider ID (NPI) | 1174543284 |
| PAC ID by PECOS | 4486923083 |
| Professional Enrollment ID | I20170712002949 |
| Full Name | Mary M Churchill |
| Organization Legal Name | DOMINION BEHAVIORAL HEALTHCARE OF CHESTERFIELD |
| Address |
703 N Courthouse Rd Suite 101 Richmond VA 23236-4069 |
| Phone Number | 8047944482 |
| Gender | F |
| Graduation Year | 1982 |
| Primary Specialty | CLINICAL PSYCHOLOGIST |
| Group Practice PAC ID | 2365767217 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 | 8047944482 | DOMINION BEHAVIORAL HEALTHCARE OF CHESTERFIELD |
| Organization Legal Name | DOMINION BEHAVIORAL HEALTHCARE OF CHESTERFIELD |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rinaldo Charles Simonini Iii | Psychologist, Clinical | Dominion Behavioral Healthcare of Chesterfield | 5931 Harbour Park Dr, Midlothian, VA 23112-2163 |
| Jennifer E Bagsby | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Glenn Weiner | Psychologist, Clinical | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Robert S Falk | Psychologist, Clinical | Dominion Behavioral Healthcare of Chesterfield | 5931 Harbour Park Dr, Midlothian, VA 23112-2163 |
| Martin B Gordon | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Richard Frank Grosse | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Edward J Brooks Jr. | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Vivian Louise Begali | Clinical Psychologist | Dominion Behavioral Healthcare of Chesterfield | 5931 Harbour Park Dr, Midlothian, VA 23112-2163 |
| Street Address |
703 N COURTHOUSE RD SUITE 101 |
| City | RICHMOND |
| State | VA |
| Zip | 23236-4069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Bagsby | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Glenn Weiner | Psychologist, Clinical | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Martin B Gordon | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Richard Frank Grosse | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Edward J Brooks Jr. | Clinical Social Worker | Dominion Behavioral Healthcare of Chesterfield | 703 N Courthouse Rd, Suite 101, Richmond, VA 23236-4069 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Britney N Chacey | Clinical Social Worker | 9409 Hull St Rd, D1, North Chesterfield, VA 23236-1200 | |
| Dreamel Spady | Clinical Social Worker | 9409 Hull St Rd, Suite D1, North Chesterfield, VA 23236-1200 | |
| Asena L Madison | Family Medicine | 9549 Amberdale Dr, North Chesterfield, VA 23236-1256 | |
| Nina J Cox | Optometry | 9509 A Amberdale Dr, North Chesterfield, VA 23236-1256 | |
| Janice Gibson Neale | Obstetrics/gynecology | John Randolph Ob Gyn LLC | 9460 Amberdale Dr D, North Chesterfield, VA 23236-1259 |
| Kevin C Harrison | Internal Medicine | 9460 Amberdale Dr, C, Richmond, VA 23236-1259 | |
| Martin F Wein | Psychologist, Clinical | 2602 Wicklow Loop, North Chesterfield, VA 23236-1363 | |
| Douglas F Ambrose | Chiropractic | 535 Southlake Blvd, North Chesterfield, VA 23236-3042 | |
| Nikole R Jiggetts | Clinical Social Worker | Replay Counseling Center LLC | 550 Southlake Blvd, North Chesterfield, VA 23236-3043 |
| Annelise A Petry | Clinical Social Worker | 720 Moorefield Park Dr, Suite 204, North Chesterfield, VA 23236-3657 | |
| Find all physicians in zip 23236 | |||
| City | RICHMOND |
| Zip Code | 23236 |
| Specialty | CLINICAL PSYCHOLOGIST |
| City + Specialty | RICHMOND + CLINICAL PSYCHOLOGIST |
Please comment or provide details below to improve the information on Mary M Churchill.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.