| Fairfield Psychological Assoc. | |
|
5265 Providence Rd Suite 500 Virginia Beach VA 23464-4206 | |
| (757) 467-9500 | |
| (757) 467-9560 |
| Full Name | Fairfield Psychological Assoc. |
|---|---|
| Speciality | Counselor |
| Location | 5265 Providence Rd, Virginia Beach, Virginia |
| Authorized Official Name and Position | Gary Rotfus (PRESIDENT) |
| Authorized Official Contact | 7574679500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fairfield Psychological Assoc. 5265 Providence Rd Suite 500 Virginia Beach VA 23464-4206 Ph: (757) 467-9500 | Fairfield Psychological Assoc. 5265 Providence Rd Suite 500 Virginia Beach VA 23464-4206 Ph: (757) 467-9500 |
| NPI Number | 1801068606 |
|---|---|
| Provider Enumeration Date | 04/01/2008 |
| Last Update Date | 04/01/2008 |
| Medicare PECOS PAC ID | 0244268654 |
|---|---|
| Medicare Enrollment ID | O20050727000938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801068606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0904000552 (Virginia) | Primary |
| 1041C0700X | Social Worker - Clinical | 0904000552 (Virginia) | Secondary |
| Provider Name | Cecelia Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023097615 PECOS PAC ID: 0547265159 Enrollment ID: I20061003000223 |
| Provider Name | Burton A Segal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639143159 PECOS PAC ID: 3779594015 Enrollment ID: I20101230000073 |
| Provider Name | Angelina R Espinosa Guanzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669536488 PECOS PAC ID: 3476738824 Enrollment ID: I20110428000202 |
| Provider Name | Ralph Kenneth Ablaseau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982869715 PECOS PAC ID: 1658542733 Enrollment ID: I20110921000431 |
| Provider Name | Gary H Rotfus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437206521 PECOS PAC ID: 1951339365 Enrollment ID: I20120105000684 |
| Provider Name | Justin T Ray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093013641 PECOS PAC ID: 8224350079 Enrollment ID: I20141204002083 |
| Provider Name | Terrinda Stevette Alston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144601980 PECOS PAC ID: 1355654138 Enrollment ID: I20150722005971 |
| Provider Name | Christie V White |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720162555 PECOS PAC ID: 9133489560 Enrollment ID: I20180205000493 |
| Provider Name | Amanda M Snow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639640063 PECOS PAC ID: 7719310168 Enrollment ID: I20191126000765 |
| Provider Name | Humayun M Kabir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821638438 PECOS PAC ID: 9234501388 Enrollment ID: I20230217002431 |
| Provider Name | April Hand Cameron |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588996474 PECOS PAC ID: 6709224652 Enrollment ID: I20240410003902 |
| Provider Name | Megan Sweeney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114030608 PECOS PAC ID: 4981044849 Enrollment ID: I20240425004128 |
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A New Perspective Therapy Services, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 101 N Lynnhaven Rd Ste 201, Virginia Beach, VA 23452 Phone: 805-704-1519 | |
Goodman Group Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 S Witchduck Rd, Virginia Beach, VA 23462 Phone: 757-613-6401 | |
Masterson Psychotherapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4445 Corporation Ln Ste 213, Virginia Beach, VA 23462 Phone: 757-237-2906 Fax: 757-216-9655 |