Lakeside Psychological Center Pc - Medicare Mental Health Clinic in Virginia Beach, VA

Lakeside Psychological Center Pc is a medicare enrolled mental health clinic (Psychologist) in Virginia Beach, Virginia. The current practice location for Lakeside Psychological Center Pc is 3076 Brickhouse Ct, Virginia Beach, Virginia. For appointments, you can reach them via phone at (757) 486-0909. The mailing address for Lakeside Psychological Center Pc is 3076 Brickhouse Ct, Virginia Beach, Virginia and phone number is (757) 486-0909.

Lakeside Psychological Center Pc is licensed to practice in Virginia (license number 90801000970). The clinic also participates in the medicare program and its NPI number is 1104044528. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (757) 486-0909.

Contact Information

Lakeside Psychological Center Pc
3076 Brickhouse Ct
Virginia Beach
VA 23452-6859
(757) 486-0909
(757) 340-7518

Map and Direction


Mental Health Clinic Profile

Full NameLakeside Psychological Center Pc
SpecialityPsychologist
Location3076 Brickhouse Ct, Virginia Beach, Virginia
Authorized Official Name and PositionTheodore M Stevens (PRESIDENT, PSYCHOLOGIST)
Authorized Official Contact7574860909
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lakeside Psychological Center Pc
3076 Brickhouse Ct
Virginia Beach
VA 23452-6859

Ph: (757) 486-0909
Lakeside Psychological Center Pc
3076 Brickhouse Ct
Virginia Beach
VA 23452-6859

Ph: (757) 486-0909

NPI Details:

NPI Number1104044528
Provider Enumeration Date04/23/2007
Last Update Date09/01/2010

Medicare PECOS Information:

Medicare PECOS PAC ID8022076660
Medicare Enrollment IDO20041229000182

Medical Identifiers

Medical identifiers for Lakeside Psychological Center Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104044528NPI-NPPES
1790811040OtherVANPI
1104044528OtherVACORPORATE NPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 90801000970 (Virginia)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lakeside Psychological Center Pc acts as a billing entity for following providers:
Provider NameTheodore M Stevens
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1790824381
PECOS PAC ID: 7911021043
Enrollment ID: I20160127001963

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.