| Christian Psychotherapy Services | |
|
281 Independence Blvd Suite 326 Virginia Beach VA 23462-2986 | |
| (757) 490-0377 | |
| (757) 497-1327 |
| Full Name | Christian Psychotherapy Services |
|---|---|
| Speciality | Psychologist |
| Location | 281 Independence Blvd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Page M Huff (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7574900377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christian Psychotherapy Services 281 Independence Blvd Suite 326 Virginia Beach VA 23462-2986 Ph: (757) 490-0377 | Christian Psychotherapy Services 281 Independence Blvd Suite 326 Virginia Beach VA 23462-2986 Ph: (757) 490-0377 |
| NPI Number | 1437247723 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8820986953 |
|---|---|
| Medicare Enrollment ID | O20040309001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437247723 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 0810001276 (Virginia) | Primary |
| Provider Name | Wayne L Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831158476 PECOS PAC ID: 5193613313 Enrollment ID: I20040309000917 |
| Provider Name | Traci M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477589372 PECOS PAC ID: 7315924180 Enrollment ID: I20050207000103 |
| Provider Name | Jane W Brown |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780672774 PECOS PAC ID: 2163473232 Enrollment ID: I20050207000105 |
| Provider Name | Timothy P Tjersland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285713750 PECOS PAC ID: 5294741765 Enrollment ID: I20060222000101 |
| Provider Name | Lauri A Kern |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528021193 PECOS PAC ID: 5698752673 Enrollment ID: I20070227000303 |
| Provider Name | Cheryl Ludvik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134156094 PECOS PAC ID: 5092800680 Enrollment ID: I20070927000214 |
| Provider Name | Jacqueline D Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386782993 PECOS PAC ID: 3870680945 Enrollment ID: I20071106000691 |
| Provider Name | Lisa A Rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225200066 PECOS PAC ID: 6305908674 Enrollment ID: I20081219000490 |
| Provider Name | Donald L Mackay |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740425024 PECOS PAC ID: 6002970118 Enrollment ID: I20090203000713 |
| Provider Name | Kent J Heintzelman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750318259 PECOS PAC ID: 1052450434 Enrollment ID: I20091124000250 |
| Provider Name | Angelina R Espinosa Guanzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669536488 PECOS PAC ID: 3476738824 Enrollment ID: I20110428000202 |
| Provider Name | Gary W Boggus |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932290988 PECOS PAC ID: 6608052923 Enrollment ID: I20110520000045 |
| Provider Name | Mary Bruno |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427334630 PECOS PAC ID: 4486820925 Enrollment ID: I20120104000426 |
| Provider Name | Franklin D Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932291630 PECOS PAC ID: 9032367214 Enrollment ID: I20120912000817 |
| Provider Name | Ruth M Pence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598085177 PECOS PAC ID: 9739332289 Enrollment ID: I20130111000116 |
| Provider Name | Carey Savage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528264983 PECOS PAC ID: 6507019791 Enrollment ID: I20130122000367 |
| Provider Name | Debra R Morton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326010158 PECOS PAC ID: 9032149778 Enrollment ID: I20130228000007 |
| Provider Name | Jeninne S Mcneill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679900187 PECOS PAC ID: 4183852189 Enrollment ID: I20140121001892 |
| Provider Name | William T Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245668516 PECOS PAC ID: 7618106261 Enrollment ID: I20140131001422 |
| Provider Name | Marlene M Juron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548299100 PECOS PAC ID: 7719202035 Enrollment ID: I20150209001484 |
| Provider Name | Sheryl Kaye Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457649493 PECOS PAC ID: 6608192539 Enrollment ID: I20150311001673 |
| Provider Name | Ramona L Watson |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1386800951 PECOS PAC ID: 4486956042 Enrollment ID: I20160113002449 |
| Provider Name | Ruth Yvette Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093263394 PECOS PAC ID: 5890070163 Enrollment ID: I20170329000650 |
| Provider Name | Arnella M Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457802795 PECOS PAC ID: 2860778099 Enrollment ID: I20170424001416 |
| Provider Name | Bridget Peery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619322930 PECOS PAC ID: 7113254459 Enrollment ID: I20190809001168 |
| Provider Name | William Lawrence Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578803078 PECOS PAC ID: 7517299571 Enrollment ID: I20191024002628 |
| Provider Name | Kimberley S Coddington |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467423756 PECOS PAC ID: 7618059908 Enrollment ID: I20200723003368 |
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