| Hampton Roads Behavioral Health,pc | |
|
1500 E Little Creek Rd Suite 205 Norfolk VA 23518-4137 | |
| (757) 587-4744 | |
| (757) 587-4947 |
| Full Name | Hampton Roads Behavioral Health,pc |
|---|---|
| Speciality | Counselor |
| Location | 1500 E Little Creek Rd, Norfolk, Virginia |
| Authorized Official Name and Position | Lewis J Taylor (ADMINISTRATOR) |
| Authorized Official Contact | 7575874744 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hampton Roads Behavioral Health,pc 1500 E Little Creek Rd Suite 205 Norfolk VA 23518-4137 Ph: (757) 587-4744 | Hampton Roads Behavioral Health,pc 1500 E Little Creek Rd Suite 205 Norfolk VA 23518-4137 Ph: (757) 587-4744 |
| NPI Number | 1356394696 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9739070780 |
|---|---|
| Medicare Enrollment ID | O20040322000370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356394696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Robert Light |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881677391 PECOS PAC ID: 1850282815 Enrollment ID: I20040322000406 |
| Provider Name | Lewis J Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609839596 PECOS PAC ID: 2163481078 Enrollment ID: I20041014000143 |
| Provider Name | Sherrill G Marshall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609894179 PECOS PAC ID: 2860445046 Enrollment ID: I20050228000863 |
| Provider Name | Carvel U Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932182367 PECOS PAC ID: 3072669639 Enrollment ID: I20090923000268 |
| Provider Name | Frank H Kirchner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407821580 PECOS PAC ID: 1658412697 Enrollment ID: I20100112000783 |
| Provider Name | Edward Goldenberg |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396818191 PECOS PAC ID: 9234328501 Enrollment ID: I20110118001136 |
| Provider Name | Louis Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548566615 PECOS PAC ID: 8325221336 Enrollment ID: I20110329000928 |
| Provider Name | Karen M Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770640112 PECOS PAC ID: 5092980573 Enrollment ID: I20111212000585 |
| Provider Name | Emilio G. Cortes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811144777 PECOS PAC ID: 3072675784 Enrollment ID: I20120823000023 |
| Provider Name | Therese Chana Lantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598004517 PECOS PAC ID: 6406085463 Enrollment ID: I20140215000201 |
| Provider Name | Amanda M Becker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881010528 PECOS PAC ID: 4385867126 Enrollment ID: I20140522001853 |
| Provider Name | Anne C Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255760997 PECOS PAC ID: 2961626031 Enrollment ID: I20140610002365 |
| Provider Name | Ann E Radford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508849456 PECOS PAC ID: 7810904703 Enrollment ID: I20150706001936 |
| Provider Name | Kimberly Michelle Crain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669726659 PECOS PAC ID: 6901043033 Enrollment ID: I20151103000881 |
| Provider Name | Paula Crooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164079935 PECOS PAC ID: 8628300068 Enrollment ID: I20191104002544 |
| Provider Name | Kevin A Waymire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346817103 PECOS PAC ID: 9032511126 Enrollment ID: I20210712003992 |
| Provider Name | Roshawna C Dawkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316609514 PECOS PAC ID: 6305236597 Enrollment ID: I20211202000235 |
| Provider Name | Javier Way |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114680592 PECOS PAC ID: 2961894969 Enrollment ID: I20220125002578 |
| Provider Name | David L Register |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427780154 PECOS PAC ID: 0244615151 Enrollment ID: I20220913003103 |
| Provider Name | Robyn Hilbert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376204685 PECOS PAC ID: 0941670962 Enrollment ID: I20230106002075 |
| Provider Name | Dawn Marie Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417690561 PECOS PAC ID: 9638557838 Enrollment ID: I20230120002702 |
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