| Ocean Reins Behavioral Health Inc | |
|
4445 Corporation Ln Ste 199b Virginia Beach VA 23462-3262 | |
| (572) 045-7757 | |
| (757) 257-2320 |
| Full Name | Ocean Reins Behavioral Health Inc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4445 Corporation Ln Ste 199b, Virginia Beach, Virginia |
| Authorized Official Name and Position | Jamie Deputy (PMHNP) |
| Authorized Official Contact | 7572045775 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ocean Reins Behavioral Health Inc 4445 Corporation Ln Ste 199b Virginia Beach VA 23462-3262 Ph: () - | Ocean Reins Behavioral Health Inc 4445 Corporation Ln Ste 199b Virginia Beach VA 23462-3262 Ph: (572) 045-7757 |
| NPI Number | 1295315612 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 08/08/2022 |
| Certification Date | 08/08/2022 |
| Medicare PECOS PAC ID | 0244624807 |
|---|---|
| Medicare Enrollment ID | O20220224000092 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295315612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | (* (Not Available)) | Secondary |
| Provider Name | Jennifer L Bainum |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225381437 PECOS PAC ID: 5698914125 Enrollment ID: I20210122002343 |
| Provider Name | Jamie L Deputy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053851436 PECOS PAC ID: 4688949506 Enrollment ID: I20221006000593 |
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