MEDICARE: VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)	0830003638	VA
2	261QM0850X	Adult Mental Health Clinic/Center	0810003638	VA
3	261QM0855X	Adolescent and Children Mental Health Clinic/Center	0810003638	VA
4	103TC0700X	Clinical Psychologist	0810003638	VA
5	103TC0700X	Clinical Psychologist	324	MT
6	103TC0700X	Clinical Psychologist	2472	CO

General Provider Information

NPI Number	:	1164596888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC

Provider Business Mailing Address
First Line	:	13204 THORNRIDGE LN
Second Line	:
City	:	MIDLOTHIAN
State	:	VA
Zip	:	23112-4836
Country	:	US
Telephone Number	:	804-308-9133
Fax Number	:	804-273-0851

Provider Business Practice Location Address
First Line	:	3212 SKIPWITH RD
Second Line	:	SUITE 104
City	:	RICHMOND
State	:	VA
Zip	:	23294-4413
Country	:	US
Telephone Number	:	804-308-9133
Fax Number	:	804-273-0851

Authorized Official
Title or Position	:	CLINICAL PSYCHOLOGIST - DIRECTOR
Name	:	DR. VICKI VAN CLEAVE
Credential	:	PSY.D.
Telephone Number	:	804-308-9133

Provider Enumeration Date	:	11/17/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1639148182 — DAVID TURNER MSSW
Practice Location Address:

3212 SKIPWITH RD , SUITE 104
RICHMOND, VA
23294-4413

Practice Phone: 804-359-6771
Practice Fax:

1952496044 — MRS. RONNA I SAUNDERS L.C.S.W.
Practice Location Address:

3212 SKIPWITH RD , SUITE 104
RICHMOND, VA
23294-4413

Practice Phone: 804-270-4111
Practice Fax: 804-273-0851

1144315268 — MRS. EVELYN K LAMPERT L.C.S.W.
Practice Location Address:

3212 SKIPWITH RD , SUITE 104
RICHMOND, VA
23294-4413

Practice Phone: 804-270-4068
Practice Fax: 804-273-0851

1275727273 — MS. SUSAN J BUNIVA MSW, LCSW
Practice Location Address:

3212 SKIPWITH RD STE 104
RICHMOND, VA
23294-4413

Practice Phone: 804-270-4111
Practice Fax:

1881880367 — ASSOCIATED FAMILY AND GROUP
Practice Location Address:

3212 SKIPWITH RD , SUITE 104
RICHMOND, VA
23294-4413

Practice Phone: 804-270-4068
Practice Fax: 804-273-0851

1255967543 — JULIA ANN GRIFFIN-HODGE
Practice Location Address:

26301 CURTISS WRIGHT PKWY
RICHMOND HEIGHTS, OH
44143-4413

Practice Phone: 470-328-1805
Practice Fax:

Directions to “VIRGINIA INSTITUTE FOR INTERPERSONAL DEVELOPMENT, PLLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.