Hampton Roads Psychological Assoc

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904000811 Issued in VA

Legal business name

HAMPTON ROADS PSYCHOLOGICAL ASSOC

Practice address

3104 Tyre Neck Rd
Portsmouth, VA 23703-4512

Phone

(757) 484-0616

Fax

(757) 484-0618

NPI assigned

Apr 6, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Gregory M Griffin, LCSW

Title

President

Phone

(757) 484-0616

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276473600000",
    "number": "1003058033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3104 TYRE NECK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034512",
            "telephone_number": "757-484-0616",
            "fax_number": "757-484-0618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3104 TYRE NECK RD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237034512",
            "telephone_number": "757-484-0616",
            "fax_number": "757-484-0618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMPTON ROADS PSYCHOLOGICAL ASSOC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2010-06-14",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-484-0616",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hampton Roads Family Dental Portmouth LLC
• Hampton Roads Hospitalist Group
• Hampton Roads Institute for Performance & Sports Medicine PLC
• Hampton Roads Pediatric Dentistry and Orthodontics, PLLC (Friendly Faces Pediatric Dentistry and Behl Orthodontics)
• Hampton Roads Primary Care
• Hampton Vamc
• Shonita Hampton-Banks, RN
• Jonathan David Hamrick
• Hannah Hancock, D.O.
• Billy Wilson Hanes Jr., DDS

• Clinical Social Worker in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.