Wellformed AI

NPI 1356497648 · live from the CMS NPI Registry

Addvantage, PLLC

Psychologist, School in Richmond, VA. National Provider Identifier 1356497648, active.

NPI record

NPI1356497648 Type 2 · organization
StatusActive
Primary specialtyPsychologist, School 103TS0200X
Practice location6722 Patterson Ave, Richmond, VA 23226
Practice phone804-282-9989
EnumeratedJanuary 27, 2007
Last updatedSeptember 11, 2025
Authorized officialSteven Butnik, Licensed Clinical Psychologist

Taxonomies and licenses

TaxonomyCodeLicense
Psychologist, Clinical103TC0700X0810001045 (VA)
Psychologist, Clinical103TC0700X0810003023 (VA)
Social Worker, Clinical1041C0700X0904001608 (VA)
Psychologist, School primary103TS0200X0803000196 (VA)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.