| Dr King-jones And Associates | |
|
816 Greenbrier Cir Ste 209 Chesapeake VA 23320-2642 | |
| (757) 436-2444 | |
| (757) 547-4584 |
| Full Name | Dr King-jones And Associates |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 816 Greenbrier Cir Ste 209, Chesapeake, Virginia |
| Authorized Official Name and Position | Patricia King (OWNER/PSYCHIATRIST) |
| Authorized Official Contact | 7574362444 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr King-jones And Associates 816 Greenbrier Cir Ste 209 Chesapeake VA 23320-2642 Ph: (757) 436-2444 | Dr King-jones And Associates 816 Greenbrier Cir Ste 209 Chesapeake VA 23320-2642 Ph: (757) 436-2444 |
| NPI Number | 1871692012 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 01/13/2020 |
| Certification Date | 01/13/2020 |
| Medicare PECOS PAC ID | 6406899251 |
|---|---|
| Medicare Enrollment ID | O20050602001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871692012 | NPI | - | NPPES |
| 1114956638 | Other | VA | NPI |
| 010191556 | Medicaid | VA | |
| 1649394032 | Other | VA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904000485 (Virginia) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 0101047522 (Virginia) | Primary |
| Provider Name | Denise I Lozano-knoble |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568446078 PECOS PAC ID: 3274520655 Enrollment ID: I20040428000171 |
| Provider Name | Timothy P Tjersland |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285713750 PECOS PAC ID: 5294741765 Enrollment ID: I20060222000101 |
| Provider Name | Cheryl Ludvik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134156094 PECOS PAC ID: 5092800680 Enrollment ID: I20070927000214 |
| Provider Name | Patricia Y King |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114956638 PECOS PAC ID: 1759324502 Enrollment ID: I20101129000065 |
| 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 | Teashia G Roeske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689053142 PECOS PAC ID: 6901119080 Enrollment ID: I20150717002254 |
| Provider Name | Bridgett Claiborne Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184399917 PECOS PAC ID: 5496143778 Enrollment ID: I20211020000524 |
| Provider Name | Brittany Rahjetta Bagby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629661012 PECOS PAC ID: 5193180693 Enrollment ID: I20230506000364 |
| Provider Name | Brittany Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184214256 PECOS PAC ID: 3971908591 Enrollment ID: I20240320000425 |
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