NPIMap

Organization Active NPI

City of Chesapeake

  • Community/Behavioral Health Agency
  • Chesapeake, VA
National Provider Identifier
1073650099
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
141 16 001 Issued in VA
Legal business name
CITY OF CHESAPEAKE
Practice address
224 Great Bridge Blvd
Chesapeake Community Services Board
Chesapeake, VA 23320-3904
Phone
(757) 547-9334
Fax
(757) 819-6292
NPI assigned
Jan 31, 2007
Last updated
Mar 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CITY OF CHESAPEAKE TA CHESAPEAKE COMMUNITY SERV. BOARDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Authorized official

Name
Deborah Chambliss
Title
Reimbursement Supervisor
Phone
(757) 819-6392

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X 141 VA
Community/Behavioral Health Agency 251S00000X 141 16 001 VA Primary

Addresses

Primary practice location

224 Great Bridge Blvd
Chesapeake Community Services Board
Chesapeake, VA 23320-3904

Mailing address

224 Great Bridge Blvd
Chesapeake, VA 23320-3904
Phone (757) 547-9334

Other identifiers 5

IdentifierTypeStateIssuer
IG007273OtherVAFEDERAL HEALTH NET
083100OtherVASENTARA/OPTIMA
1073650099MedicaidVA
IG007273OtherVAMAGELLEAN AGENCY NUMBER
250277OtherVAANTHEM TRIGON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112000805 VA Part B Supplier - Clinic/Group Practice 6204885601 Receives reassigned benefits from 61 practitioners
Practice locations: Chesapeake, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Chesapeake Health Dept9 organizations share this tax ID, including this one
Part of
Chesapeake Health Dept

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 67

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 67

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772668800000",
    "number": "1073650099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-547-9334",
            "fax_number": "757-210-4173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 GREAT BRIDGE BLVD",
            "address_2": "CHESAPEAKE COMMUNITY SERVICES BOARD",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233203904",
            "telephone_number": "757-547-9334",
            "fax_number": "757-819-6292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF CHESAPEAKE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY OF CHESAPEAKE TA CHESAPEAKE COMMUNITY SERV. BOARD",
        "enumeration_date": "2007-01-31",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A",
        "authorized_official_last_name": "CHAMBLISS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "REIMBURSEMENT SUPERVISOR",
        "authorized_official_telephone_number": "757-819-6392"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "141",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "VA",
            "license": "141 16 001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL HEALTH NET",
            "identifier": "IG007273",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA/OPTIMA",
            "identifier": "083100",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073650099",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLEAN AGENCY NUMBER",
            "identifier": "IG007273",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM TRIGON",
            "identifier": "250277",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.