| Churchland Psychiatric Associates Pc | |
|
4041 Taylor Rd Ste G Chesapeake VA 23321-5525 | |
| (757) 483-6404 | |
| (757) 483-0737 |
| Full Name | Churchland Psychiatric Associates Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4041 Taylor Rd Ste G, Chesapeake, Virginia |
| Authorized Official Name and Position | Michelle Colley (BUSINESS ADMINISTRATOR) |
| Authorized Official Contact | 7574836404 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Churchland Psychiatric Associates Pc 4041 Taylor Rd Ste G Chesapeake VA 23321-5525 Ph: (757) 483-6404 | Churchland Psychiatric Associates Pc 4041 Taylor Rd Ste G Chesapeake VA 23321-5525 Ph: (757) 483-6404 |
| NPI Number | 1740359223 |
|---|---|
| Provider Enumeration Date | 11/07/2006 |
| Last Update Date | 11/07/2021 |
| Certification Date | 11/07/2021 |
| Medicare PECOS PAC ID | 5799776654 |
|---|---|
| Medicare Enrollment ID | O20040519001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740359223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ann D Mingione |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124011622 PECOS PAC ID: 1951354968 Enrollment ID: I20050301000870 |
| Provider Name | Karen L Mckinley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043205073 PECOS PAC ID: 2769566074 Enrollment ID: I20080226000286 |
| Provider Name | Glinda V Oneill |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558548651 PECOS PAC ID: 9931240199 Enrollment ID: I20100122000470 |
| Provider Name | Greg M Griffin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609861327 PECOS PAC ID: 9032240833 Enrollment ID: I20100623000060 |
| Provider Name | Federico Vizcaino |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295729309 PECOS PAC ID: 4981768751 Enrollment ID: I20100623000070 |
| Provider Name | Christina D Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366769333 PECOS PAC ID: 8628102720 Enrollment ID: I20100811000422 |
| Provider Name | Daniel Walter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588647283 PECOS PAC ID: 2365624210 Enrollment ID: I20110314000578 |
| Provider Name | Norbert L Newfield |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245223759 PECOS PAC ID: 6406039866 Enrollment ID: I20110322000610 |
| Provider Name | Sarah F Moore |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1255325585 PECOS PAC ID: 1951584325 Enrollment ID: I20110322000734 |
| Provider Name | Beverly H Bullock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558356857 PECOS PAC ID: 8820271216 Enrollment ID: I20110322000922 |
| Provider Name | Gary Lee Starkey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770561698 PECOS PAC ID: 5890859664 Enrollment ID: I20110323000032 |
| Provider Name | William J Duane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003809500 PECOS PAC ID: 0143403147 Enrollment ID: I20110329000804 |
| Provider Name | Velma A Bacak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104819234 PECOS PAC ID: 6709940570 Enrollment ID: I20110419000925 |
| Provider Name | Mary J Lankford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245526128 PECOS PAC ID: 4981877420 Enrollment ID: I20111028000671 |
| Provider Name | Kenneth L Labasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003803453 PECOS PAC ID: 5890960520 Enrollment ID: I20111208000417 |
| Provider Name | Richard H Jaglowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407843840 PECOS PAC ID: 1658546973 Enrollment ID: I20111214000551 |
| Provider Name | Carol Taaffe |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1174600670 PECOS PAC ID: 2567639081 Enrollment ID: I20120124000194 |
| Provider Name | Richardean Benjamin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124473038 PECOS PAC ID: 6103110085 Enrollment ID: I20160816001640 |
| Provider Name | Angel M Williams-kent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598219214 PECOS PAC ID: 2961782859 Enrollment ID: I20161212001414 |
| Provider Name | Marla Jo Clancy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023623436 PECOS PAC ID: 8022438951 Enrollment ID: I20201015000482 |
| Provider Name | Sophia Zwirner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982377438 PECOS PAC ID: 8325437916 Enrollment ID: I20211122000232 |
| Provider Name | Lynn Renee Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295307791 PECOS PAC ID: 7810387248 Enrollment ID: I20211129002078 |
| Provider Name | Mona Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154080547 PECOS PAC ID: 7618345588 Enrollment ID: I20221128000155 |
| Provider Name | Paula Crew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689322356 PECOS PAC ID: 4789049941 Enrollment ID: I20230424001469 |
| Provider Name | Zackary David Todaro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043910169 PECOS PAC ID: 6002267473 Enrollment ID: I20240110001642 |
| Provider Name | Geoffrey Wayne Ludford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205888393 PECOS PAC ID: 4789036880 Enrollment ID: I20240113000055 |
| Provider Name | Ashley Marie Dyer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003598384 PECOS PAC ID: 0941742746 Enrollment ID: I20240607002647 |
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