Center for Psychological Assessment and Therapeutics

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810000350 Issued in VA

Legal business name

CENTER FOR PSYCHOLOGICAL ASSESSMENT AND THERAPEUTICS

Practice address

3500 Virginia Beach Blvd
Suite 511
Virginia Beach, VA 23452-4445

Phone

(757) 340-1164

Fax

(757) 340-1195

NPI assigned

Aug 18, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Glenn Rex Miller, PH.D

Title

Owner / Partner

Phone

(757) 340-1164

Specialties & licenses 4

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dana Lynne Johnston, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1780668319
  NPD (past)

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219017600000",
    "number": "1043466394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 511",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-340-1164",
            "fax_number": "757-340-1195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 VIRGINIA BEACH BLVD",
            "address_2": "SUITE 511",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234524445",
            "telephone_number": "757-340-1164",
            "fax_number": "757-340-1195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR PSYCHOLOGICAL ASSESSMENT AND THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "REX",
        "authorized_official_title_or_position": "OWNER / PARTNER",
        "authorized_official_telephone_number": "757-340-1164",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810000350",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810000350",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Forensic",
            "state": "VA",
            "license": "0810000350",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904005428",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2008; 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.