NPIMap

Organization Active NPI

Errol Liebowitz PHD

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1083648331
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
ERROL LIEBOWITZ PHD
Practice address
333 Kellam Rd Ste 100
Virginia Beach, VA 23462
Phone
(757) 499-1694
Fax
(757) 499-1696
NPI assigned
Jul 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Authorized official

Name
Ms. Nicole Starling
Title
Office Manager
Phone
(757) 499-1694

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

333 Kellam Rd Ste 100
Virginia Beach, VA 23462

Mailing address

333 Kellam Rd Ste 100
Virginia Beach, VA 23462-2746
Phone (757) 499-1694

Other names 1

  • Coastal Virginia Psychological Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Coastal Virginia Psychological Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

333 Kellam Rd
Ste 100
Virginia Beach, VA 23462
Phone (757) 499-1694

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533772800000",
    "number": "1083648331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 KELLAM RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622746",
            "telephone_number": "757-499-1694",
            "fax_number": "757-499-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 KELLAM RD STE 100",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "23462",
            "telephone_number": "757-499-1694",
            "fax_number": "757-499-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERROL LIEBOWITZ PHD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2018-08-09",
        "status": "A",
        "authorized_official_last_name": "STARLING",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "757-499-1694",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Virginia Psychological Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.