Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Madeline Anne Ivanchenko, PHD

Individual provider Clinical Psychologist · NPI 1730480740

Dr. Madeline Anne Ivanchenko, PHD is a Clinical Psychologist in Midlothian, Virginia. Qualified in 2009, 17 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
17
Licensed in
VA
In the registry since
2010
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

2342 Colony Crossing Pl
Midlothian, VA 23112-4280
Phone: (804) 639-1112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 0810004312 (VA)

Record details

NPI number1730480740
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 7, 2010
Last updated in NPPESNovember 9, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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