| Ocean Psychiatric Group Pc | |
|
596 Lynnhaven Pkwy Ste 100 Virginia Beach VA 23452-7371 | |
| (757) 802-4500 | |
| (757) 226-9002 |
| Full Name | Ocean Psychiatric Group Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 596 Lynnhaven Pkwy Ste 100, Virginia Beach, Virginia |
| Authorized Official Name and Position | Katharine W Heatwole (MD) |
| Authorized Official Contact | 7576470480 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Psychiatric Group Pc 596 Lynnhaven Pkwy Ste 100 Virginia Beach VA 23452-7371 Ph: (757) 802-4500 | Ocean Psychiatric Group Pc 596 Lynnhaven Pkwy Ste 100 Virginia Beach VA 23452-7371 Ph: (757) 802-4500 |
| NPI Number | 1205270147 |
|---|---|
| Provider Enumeration Date | 04/22/2013 |
| Last Update Date | 05/21/2024 |
| Certification Date | 05/21/2024 |
| Medicare PECOS PAC ID | 2668614272 |
|---|---|
| Medicare Enrollment ID | O20130812000241 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205270147 | NPI | - | NPPES |
| 1205270147 | Medicaid | VA |
| Provider Name | Katharine W Heatwole |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740256387 PECOS PAC ID: 6608833108 Enrollment ID: I20041216000394 |
| Provider Name | Deborah B Reese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891749644 PECOS PAC ID: 6305879511 Enrollment ID: I20050916000651 |
| Provider Name | Sharon H Rhodes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043391824 PECOS PAC ID: 4385736875 Enrollment ID: I20070829000202 |
| Provider Name | Thomas K Tsao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659343556 PECOS PAC ID: 6305742032 Enrollment ID: I20110121000334 |
| Provider Name | Mark T Schreiber |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124090022 PECOS PAC ID: 7214112473 Enrollment ID: I20110503000627 |
| Provider Name | Joyce H Tsao |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528032471 PECOS PAC ID: 2062680218 Enrollment ID: I20110714000507 |
| Provider Name | Amy Carter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760440952 PECOS PAC ID: 7618140682 Enrollment ID: I20111108000371 |
| Provider Name | Pamela K Zane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538126370 PECOS PAC ID: 4880869601 Enrollment ID: I20111206000807 |
| Provider Name | Mark A Warren |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154360329 PECOS PAC ID: 9739355132 Enrollment ID: I20120106000404 |
| Provider Name | Michael S Prince |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295753630 PECOS PAC ID: 6800063421 Enrollment ID: I20120124000095 |
| Provider Name | Anne L Stubbs |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205177003 PECOS PAC ID: 6103066527 Enrollment ID: I20130709000167 |
| Provider Name | Linda Pham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114449253 PECOS PAC ID: 1456610948 Enrollment ID: I20180108001946 |
| Provider Name | Keisha Monique Baxter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013422302 PECOS PAC ID: 3971868464 Enrollment ID: I20180605000268 |
| Provider Name | Erica L Bradshaw |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649288580 PECOS PAC ID: 2365453115 Enrollment ID: I20190305002355 |
| Provider Name | Trisha Nardia Parker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528609187 PECOS PAC ID: 4981037702 Enrollment ID: I20191210001096 |
| Provider Name | Sandra Walker Nichols |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770749202 PECOS PAC ID: 0547304412 Enrollment ID: I20200330002712 |
| Provider Name | Candace B Lankford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134751530 PECOS PAC ID: 4981034253 Enrollment ID: I20200429001017 |
| Provider Name | Janet Bell Boney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194590604 PECOS PAC ID: 2163860990 Enrollment ID: I20240329000872 |
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