PSYCHOLOGICAL SERVICES OF VIRGINIA (NPI# 1205261963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205261963 |
| Entity Type | Organization |
| Organization Name | PSYCHOLOGICAL SERVICES OF VIRGINIA |
| Practice Address |
645 Church St Ste 205 Norfolk VA 23510-1712 |
| Practice Telephone | 7573094688 |
| Mailing Telephone | 7573094688 |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2013-09-12 |
| Authorized Official Name | DR. LACONDA FANNING (DIRECTOR) |
| Authorized Official Telephone | 7572353751 |
| Authorized Official Credential | PSY-D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
Behavioral Health & Social Service Providers |
| Street Address |
645 CHURCH ST STE 205 |
| City | NORFOLK |
| State | VA |
| Zip Code | 23510-1712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619323862 | Whitestone Prayer Ministries | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 645 Church St Ste 205, Norfolk, VA 23510-1712 | 2016-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151108 | Brittany Delong | Speech-Language Pathologist | 534 E Olney Road, Norfolk, VA 23510 | 2019-08-30 |
| 1881164366 | Gregory D Newman | Hearing Instrument Specialist | 501 B Bousch St, Norfolk, VA 23510 | 2018-11-28 |
| 1598282998 | Tidewater Hyperbaric | Preventive Medicine | 129 West Virginia Beach Blvd, Suite 140 A, Norfolk, VA 23510 | 2017-08-25 |
| 1295276186 | John Michael Curnes | General Practice | 200 College Pl Apt 215, Norfolk, VA 23510 | 2017-03-13 |
| 1326499989 | East Coast Family Services | Community/Behavioral Health | 259 Granby St., Norfolk, VA 23510 | 2016-06-24 |
| 1659750529 | Cortney Armitano | Specialist/Technologist | 201 West Tazewell Street, Apt. 206, Norfolk, VA 23510 | 2015-05-26 |
| 1285076067 | Abundant Life Therapeutic Services LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 645 Church St., Suite 104c, Norfolk, VA 23510 | 2013-07-22 |
| 1497196901 | Patricia Ann Richardson | Assisted Living Facility | 101 East Plume Street, 501, Norfolk, VA 23510 | 2013-07-12 |
| 1427319300 | The Foleck Center | Dentist | 201 College Place, #111, Norfolk, VA 23510 | 2012-06-06 |
| 1033414941 | Laura Jeanne O'neal | Social Worker | 250 W Brambleton Ave, Ste 101, Norfolk, VA 23510 | 2011-01-24 |
| Find all providers in zip 23510 | ||||
| Taxonomy Code | 103TP2701X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Group Psychotherapy |
| Definition to come... |
| Notes: [1/1/2007: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619081742 | Edward Goldenberg, Md Psc PC | Psychologist | 930 Redgate Ave, Norfolk, VA 23507-1518 | 2006-08-18 |
| 1700431624 | Schlichter Psychotherapy Associates | Psychologist | 500 E Plume St Ste 205, Norfolk, VA 23510-2325 | 2019-08-07 |
| 1972678464 | The Psychotherapy Center Solutions for Living Ltd | Psychologist | 327 W 21st St, 205, Norfolk, VA 23517-2130 | 2006-11-21 |
| 1851327589 | Finney Zimmerman Psychiatric Associates, Plc | Psychologist | 6320 N Center Dr, Suite 203, Norfolk, VA 23502-4009 | 2006-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215449848 | Caroline Sahr | Psychologist | 6059 Arlington Blvd Ste B, Falls Church, VA 22044-2721 | 2017-11-06 |
| 1740412071 | Roanenteprises, LLC | Psychologist | 3122 W Clay St, Richmond, VA 23230-4728 | 2009-08-20 |
| 1770786790 | Patricia Umlauf Dawson | Psychologist | 23668 Front Street, Accomac, VA 23301 | 2007-06-07 |
| 1639265598 | Fli,plc | Psychologist | 1307 Jamestown Rd Ste 202, Williamsburg, VA 23185-3392 | 2006-10-05 |
| 1669983128 | Neuroscience, Inc. | Psychologist | 106 Elden St Ste 17, Herndon, VA 20170-4840 | 2017-10-23 |
| 1588733893 | Charis Institute for Psychological and Family Services | Psychologist | 36 Southgate Ct, Suite 102, Harrisonburg, VA 22801-9668 | 2006-11-08 |
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| 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.