DR. VELMA A BACAK


Address: 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205
Phone: 7574836404

DR. VELMA A BACAK (NPI# 1104819234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104819234
Entity Type Individual
Full Name DR. VELMA A BACAK
Credential MD
Practice Address 3300 Academy Ave
Academy Crossing Medical Plaza
Portsmouth
VA 23703-3205
Practice Telephone 7574836404
Practice Fax Number 7574830737
Mailing Telephone 7574836404
Mailing Fax Number 7574830737
Enumeration Date 2005-08-24
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084P0804X Psychiatry & Neurology
Specialization: Child & Adolescent Psychiatry
VA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
VA SENTARA 080942 01
VA ANTHEM 330771 01

Office Location

Street Address 3300 ACADEMY AVE
ACADEMY CROSSING MEDICAL PLAZA
City PORTSMOUTH
State VA
Zip Code 23703-3205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1023623436 Marla Jo Clancy Nurse Practitioner 3300 Academy Ave, Portsmouth, VA 23703-3205 2020-09-11
1598219214 Angel Marie Williams-kent Nurse Practitioner 3300 Academy Ave, Portsmouth, VA 23703-3205 2016-08-10
1124473038 Richardean Benjamin Nurse Practitioner 3300 Academy Ave, Portsmouth, VA 23703-3205 2016-04-28
1700208873 Stacie Adrienne Wilson Psychologist 3300 Academy Ave, Churchland Psychiatric Associates, Portsmouth, VA 23703-3205 2014-01-09
1821421454 Riverside Physician Services Inc Psychologist 3300 Academy Ave, Portsmouth, VA 23703-3205 2013-08-19
1568715613 Melissa Gilbert Gomes Nurse Practitioner 3300 Academy Ave, Portsmouth, VA 23703-3205 2012-10-25
1558687954 Tiffany Davis Nurse Practitioner 3300 Academy Ave, Portsmouth, VA 23703-3205 2010-04-12
1578728820 Eileen P Pietila Counselor 3300 Academy Ave, Portsmouth, VA 23703-3205 2008-07-26
1760412183 Lana Tucker Williams Counselor 3300 Academy Ave, Portsmouth, VA 23703-3205 2006-07-03
1821032079 Martha A Jones Nurse Practitioner 3300 Academy Ave, Portsmouth, VA 23703-3205 2006-06-16
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1689929382 Positive Connections, Inc Community/Behavioral Health 3823d Meherrin River Reach, Portsmouth, VA 23703 2012-07-18
1225319874 Sanaz Namin Pharmacist 5601 High Street, Porstmouth, VA 23703 2011-09-08
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Taxonomy Information

Taxonomy Code 2084P0804X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Child & Adolescent Psychiatry

Taxonomy Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295770063 Sanghamitra Mishra Chowdhury Psychiatry & Neurology 825 Crawford Pkwy, Portsmouth, VA 23704-2301 2006-06-17
1720040959 Jose A Gelpi Psychiatry & Neurology 825 Crawford Parkway, Portsmouth, VA 23704 2006-04-04
1891004396 Zenith Healthcare Systems, Inc. Psychiatry & Neurology 825 Crawford Pkwy, Portsmouth, VA 23704-2301 2010-09-30
1154441962 Ellen King Schlefer Psychiatry & Neurology 20 Ladd St, Suite 403, Portsmouth, NH 03801-4087 2007-03-29
1205975315 Ilene Beth Spitzer Psychiatry & Neurology 230 Lafayette Rd, Bdlg. C, Portsmouth, NH 03801-5465 2007-02-05
1477523256 Steve Johnson Brasington Psychiatry & Neurology 620 John Paul Jones Cir, Naval Medical Center Portsmouth, Portsmouth, VA 23708-2111 2006-01-25
1326028689 Joseph B Clem Psychiatry & Neurology 620 John Paul Jones Cir, Naval Medical Center, Department of Psychiatry, Portsmouth, VA 23708-2111 2006-01-20
1124013412 Kenneth R Lovko Psychiatry & Neurology 3300 Academy Ave, Academy Crossing Medical Plaza, Portsmouth, VA 23703-3205 2005-09-13

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1831403864 Neel Nene Psychiatry & Neurology 801 N Quincy St Ste 601, Arlington, VA 22203-1729 2010-08-02
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1336343516 Nelson Lugo Psychiatry & Neurology 43330 Junction Plz Ste 160, Pmb 108, Ashburn, VA 20147-3408 2007-06-12
1598973471 Charles E Hall Iv Psychiatry & Neurology 100 Boulders Pkwy, Suite 202, Richmond, VA 23225 2007-05-21
1699983692 Heather Kilbride Henig Psychiatry & Neurology 11490 Commerce Park Dr Ste 420, Reston, VA 20191 2007-05-21
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Competitor

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City PORTSMOUTH
Zip Code 23703

Improve Information

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Dataset Information

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.

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