FAIRFIELD PSYCHOLOGICAL ASSOC. (NPI# 1801068606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801068606 |
| Entity Type | Organization |
| Organization Name | FAIRFIELD PSYCHOLOGICAL ASSOC. |
| Practice Address |
5265 Providence Rd Suite 500 Virginia Beach VA 23464-4206 |
| Practice Telephone | 7574679500 |
| Practice Fax Number | 7574679560 |
| Mailing Telephone | 7574679500 |
| Mailing Fax Number | 7574679560 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |
| Authorized Official Name | MR. GARY ROTFUS (PRESIDENT) |
| Authorized Official Telephone | 7574679500 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
0904000552 | VA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
0904000552 | VA | Behavioral Health & Social Service Providers |
| Street Address |
5265 PROVIDENCE RD SUITE 500 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23464-4206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205834975 | Reynaldo Molina Francisco | Ophthalmology | 5265 Providence Rd, Ste 505, Virginia Beach, VA 23464-4206 | 2005-07-07 |
| 1639640063 | Amanda Marie Snow | Registered Nurse | 5265 Providence Rd, Virginia Beach, VA 23464-4206 | 2018-12-11 |
| 1124413281 | Andrea Deanne Fiorillo | Massage Therapist | 5265 Providence Rd, Suite 403, Virginia Beach, VA 23464-4206 | 2015-04-04 |
| 1114240884 | Danielle Bell | Social Worker | 5265 Providence Rd, Virginia Beach, VA 23464-4206 | 2010-03-09 |
| 1730321829 | Jacqueline Rose Reiss | Social Worker | 5265 Providence Rd, Virginia Beach, VA 23464-4206 | 2009-04-03 |
| 1922208370 | Helen L Mccollum | Acupuncturist | 5265 Providence Rd, #506, Virginia Beach, VA 23464 | 2007-07-24 |
| 1841493806 | Health Links, Inc | Chiropractor | 5265 Providence Rd, Suite 200, Virginia Beach, VA 23464-4206 | 2007-06-07 |
| 1942340914 | Erin Colleen Case | Counselor | 5265 Providence Rd, Suite 501, Virginia Beach, VA 23464-4206 | 2007-02-07 |
| 1437202793 | Kempsville Physical Therapy P C | Physical Therapist | 5265 Providence Rd, Suite 503, Virginia Beach, VA 23464-4206 | 2007-01-19 |
| 1811040165 | Linda Carol Owen | Physical Therapist | 5265 Providence Rd, Suite 503, Virginia Beach, VA 23464-4206 | 2007-01-19 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941181 | Amy H Drescher LLC | Counselor | 3615 Atlantic Ave Apt 302, Virginia Beach, VA 23451-2749 | 2020-10-30 |
| 1629678735 | Stephanie Ellzey | Counselor | 4169 Virginia Beach Blvd Ste 150, Virginia Beach, VA 23452-1783 | 2020-10-28 |
| 1881208650 | Tracie Marie Romero | Counselor | 236 Mustag Trail Ste, Virginia Beach, VA 23452 | 2020-08-31 |
| 1912510991 | Briahna Van Nostern | Counselor | 669 Pinebrook Dr, Virginia Beach, VA 23462-4772 | 2020-08-28 |
| 1750999280 | Barbara Stuart Ford | Counselor | 6477 College Park Sq Ste 216, Virginia Beach, VA 23464-3611 | 2020-07-21 |
| 1184242489 | Leah Laura Crawford | Counselor | 2397 Liberty Way Ste 103, Virginia Beach, VA 23456-3464 | 2020-07-13 |
| 1871119321 | Pembroke Psychotherapy LLC | Counselor | 4605 Pembroke Lake Cir Ste 103c, Virginia Beach, VA 23455-6434 | 2020-06-21 |
| 1285256768 | Robyn Melinda Leroy | Counselor | 1064 Laskin Rd Ste 14c, Virginia Beach, VA 23451-6337 | 2020-05-07 |
| 1013543560 | Frank Douglass Bond | Counselor | 5267 Greenwich Rd Ste 100, Virginia Beach, VA 23462-6028 | 2020-03-17 |
| 1821621640 | Hailey Rae Gier | Counselor | 4420 Bear Trl, Virginia Beach, VA 23456-7308 | 2020-02-20 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23464 |
Please comment or provide details below to improve the information on FAIRFIELD PSYCHOLOGICAL ASSOC..
| 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.