TIDEWATER CHILD AND FAMILY BEHAVIORAL HEALTH CENTER, PLLC (NPI# 1578970927) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578970927 |
| Entity Type | Organization |
| Organization Name | TIDEWATER CHILD AND FAMILY BEHAVIORAL HEALTH CENTER, PLLC |
| Practice Address |
1000 Regent University Dr Virginia Beach VA 23464-5037 |
| Practice Telephone | 7573524377 |
| Mailing Telephone | 7573524377 |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2014-07-17 |
| Authorized Official Name | DR. DONALD FRANKLIN WALKER (OWNER) |
| Authorized Official Telephone | 6789941875 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TC0700X |
Psychologist Specialization: Clinical |
0810004375 | VA | Behavioral Health & Social Service Providers |
| Y | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
0810004375 | VA | Behavioral Health & Social Service Providers |
| Street Address |
1000 REGENT UNIVERSITY DR |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-5037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417964701 | Jennifer Sulouff Ripley | Psychologist | 1000 Regent University Dr, Crb 161, Virginia Beach, VA 23464-5037 | 2006-08-01 |
| 1396078069 | Providence Consulting and Clinical Services | Psychologist | 1000 Regent University Dr, Crb 161, Virginia Beach, VA 23464-5037 | 2009-09-14 |
| 1457545824 | Robert Mathias Kuschel | Counselor | 1000 Regent University Dr, Virginia Beach, VA 23464-5037 | 2007-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437610581 | Ainsley's Angels of America | Durable Medical Equipment & Medical Supplies | 828 Cabrini Place, Virginia Beach, VA 23464 | 2019-03-29 |
| 1104313055 | Your Family Is Family Home Healthcare Services, LLC | Respite Care | 1311 Hafford Road, Virginia Beach, VA 23464 | 2018-04-17 |
| 1497274765 | Jamie Crisman | Occupational Therapist | 1400 Fordham Drive, Virginia Beach, VA 23464 | 2017-09-18 |
| 1861919334 | Joshua Hoxter | Chiropractor | 6070 Indian River Rd Ste 102, Virginia Beach, VA 23464 | 2017-08-25 |
| 1669909917 | Toni Faye Tayag | Specialist/Technologist | 909 Tidemark Court, Virginia Beach, VA 23464 | 2017-05-17 |
| 1922545540 | Divinefavor LLC | Non-emergency Medical Transport (VAN) | 1014 Level Green Blvd, Virginia Beach, VA 23464 | 2017-01-20 |
| 1326499807 | David Klucznik | Dentist | 5564 Indian River Road, Virginia Beach, VA 23464 | 2016-06-27 |
| 1093161374 | Mawussi Komi | General Acute Care Hospital | 6271 Drew Dr, Va Beach, VA 23464 | 2016-05-05 |
| 1588071807 | Linda Mathis | Skilled Nursing Facility | 5520 Indian Road, Virginia Beach, VA 23464 | 2014-07-18 |
| 1083045561 | Manny-nelson Med LLC | Durable Medical Equipment & Medical Supplies | 1612 Centerville Turnpike, Suite 308, Virginia Beach, VA 23464 | 2013-12-09 |
| Find all providers in zip 23464 | ||||
| Taxonomy Code | 103TC2200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical Child & Adolescent |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407221716 | Spectrum Psychological and Neurotherapy PC | Psychologist | 4542 Bonney Rd Ste B, Virginia Beach, VA 23462 | 2015-12-11 |
| 1114002581 | Carl R. Ellis | Psychologist | 1020 Independence Blvd, Suite 204, Virginia Beach, VA 23455-5500 | 2006-10-26 |
| 1134129422 | Karen Simmons-faber | Psychologist | 1147 Independence Blvd, Family Medical Practitioners, Virginia Beach, VA 23455-5545 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083161368 | Nancy Watt Marin | Psychologist | 5060 37th St N, Arlington, VA 22207-1823 | 2016-09-05 |
| 1346613668 | Brian Edward Razzino | Psychologist | 150 Little Falls St Ste 200, Falls Church, VA 22046-4315 | 2015-11-09 |
| 1538597448 | Jadig Garcia | Psychologist | 10571 Telegraph Rd Ste 110, Glen Allen, VA 23059-4652 | 2013-10-31 |
| 1629327226 | Angela Michelle Malo | Psychologist | 11480 Sunset Hills Rd, Reston, VA 20190-5265 | 2012-08-29 |
| 1093092272 | Peter F Cooper | Psychologist | 359 Sherwood Ave, Staunton, VA 24401-4430 | 2011-11-15 |
| 1972889871 | Sara Markese Phd Pllc | Psychologist | 2813 Lee Oaks Ct, Suite 304, Falls Church, VA 22046-7336 | 2011-10-24 |
| 1457644585 | Tara Banks Wallace | Psychologist | 8626 Lee Hwy Ste 200, Fairfax, VA 22031-2135 | 2011-05-23 |
| 1598088502 | Megan F Gerbracht | Psychologist | 1489 Chain Bridge Rd Ste 203, Mc Lean, VA 22101-5724 | 2010-03-04 |
| 1346572351 | Jill Allison Ferrante Gasper | Psychologist | 508 Libbie Ave, Suite 100, Richmond, VA 23226-2618 | 2010-02-02 |
| 1770754285 | Victor M. Huertas | Psychologist | 8232 La Faye Ct, Alexandria, VA 22306-3200 | 2008-03-13 |
| Find all providers with the same taxonomy | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
Please comment or provide details below to improve the information on TIDEWATER CHILD AND FAMILY BEHAVIORAL HEALTH CENTER, PLLC.
| 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.