DR. KIRSTEN MONTGOMERY BETAK (NPI# 1093867640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093867640 |
| Entity Type | Individual |
| Full Name | DR. KIRSTEN MONTGOMERY BETAK |
| Credential | PSY.D. |
| Practice Address |
Medical, PCu Ghw Bush Cvn77, Supship Newport News 4101 Washington Ave, Bldg 2 Newport News VA 23607 |
| Mailing Address |
5300 Kindlewood Dr Virginia Beach VA 23455-6611 |
| Practice Telephone | 7575341645 |
| Mailing Telephone | 7578316246 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY 19719 | CA | Behavioral Health & Social Service Providers |
| Street Address |
MEDICAL, PCU GHW BUSH CVN77, SUPSHIP NEWPORT NEWS 4101 WASHINGTON AVE, BLDG 2 |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649766296 | Mahmud Kandeel | Ambulance | 4710 Marshall Ave, Newport News, VA 23607 | 2018-07-06 |
| 1285133868 | Astrid Home Care Services, LLC | Home Health | 1024 34th St, Newport News, VA 23607 | 2018-02-08 |
| 1891293551 | Gcartransportation L.l.c | Taxi | 4214 Jeffeson Ave, Newport News, VA 23607 | 2018-01-29 |
| 1992235501 | Antuane Dewayne Lomax | Taxi | 1310 39th Street, Newport News, VA 23607 | 2017-06-15 |
| 1598205957 | Hasssan Elmi Ali | Taxi | 4214 Jefferson Ave, Newport New, VA 23607 | 2017-03-06 |
| 1790221802 | Ta Mara's Promise, LLC | Counselor | 2601 West Ave, Ste: 201, Newport, VA 23607 | 2017-01-12 |
| 1437478906 | Constance None Griffin | Contractor | 2905 Chestnut Avenue, Newport News, VA 23607 | 2010-05-24 |
| 1093048076 | Shelley Ann Brown | Technician | 634 44th Street, Newport, VA 23607 | 2009-09-09 |
| 1689808792 | Melissa Ellen Nazareth | Dentist | 2704 Chestnut Avenue, Newport News, VA 23607 | 2009-05-05 |
| 1740422237 | David Raymond Ditman | Military Health Care Provider | Uss California (ssn 781), Supervisor of Shipbuilding, Conversion& Repair, Usn, Newport News, VA 23607 | 2009-03-30 |
| Find all providers in zip 23607 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558973131 | Saharay Elizabeth Martinez | Psychologist | 26 Zenith Loop, Newport News, VA 23601-1270 | 2020-08-17 |
| 1518472760 | Stacey Webber Villanueva | Psychologist | 823 Lipton Dr, Newport News, VA 23608-3114 | 2017-12-11 |
| 1033622121 | Patricia Jones | Psychologist | 8 San Jose Dr, Newport News, VA 23606-3508 | 2017-11-10 |
| 1558759274 | Passion of Resilience Counseling Center, LLC | Psychologist | 11835 Canon Blvd Ste B102, Newport News, VA 23606-2570 | 2015-01-05 |
| 1306278395 | Christina Gabriela Mena | Psychologist | 8 San Jose Dr Ste 3e, Newport News, VA 23606-3508 | 2013-08-01 |
| 1508172859 | Glenn W Ahava | Psychologist | 105 Barclay Rd, Newport News, VA 23606-1403 | 2010-08-25 |
| 1700111341 | Amaya A. Rucker | Psychologist | 11835 Canon Blvd, Suite B-102, Newport News, VA 23606-2570 | 2009-10-15 |
| 1386800951 | Ramona L Watson | Psychologist | 11838 Rock Landing Dr, Ste. 145, Newport News, VA 23606-4232 | 2008-08-04 |
| 1316035975 | Fredrick P. Frieden | Psychologist | 12695 Mcmanus Blvd., Bldg 8, Newport News, VA 23602-4442 | 2006-10-10 |
| 1467558304 | Behavioral Medicine Institute | Psychologist | 606 Denbigh Blvd Ste 100, Newport News, VA 23608-4413 | 2006-09-16 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23607 |
Please comment or provide details below to improve the information on DR. KIRSTEN MONTGOMERY BETAK.
| 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.