Organization Active NPI

Capstone Behavioral Health Services, PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Suffolk, VA
National Provider Identifier
1104785104
Registry record updated Jan 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
CAPSTONE BEHAVIORAL HEALTH SERVICES, PLLC
Practice address
263 Purple Martin LN
Suffolk, VA 23435-3329
Phone
(804) 497-9795
NPI assigned
Jan 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2026

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

Authorized official

Name
Rebecca Antwi-Kisseadoo, PMHNPNPI 1962240796
Title
Owner
Phone
(804) 497-9794

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

263 Purple Martin LN
Suffolk, VA 23435-3329

Mailing address

263 Purple Martin LN
Suffolk, VA 23435-3329
Phone (804) 497-9795

National Provider Directory

National Provider Directory

Locations

500 E Main St
Ste 160045
Norfolk, VA 23510

Practitioners & affiliated clinicians

Practitioners 1

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": "1768521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768521600000",
    "number": "1104785104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 PURPLE MARTIN LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353329",
            "telephone_number": "804-497-9795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 PURPLE MARTIN LN",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353329",
            "telephone_number": "804-497-9795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPSTONE BEHAVIORAL HEALTH SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-16",
        "last_updated": "2026-01-16",
        "certification_date": "2026-01-16",
        "status": "A",
        "authorized_official_last_name": "ANTWI-KISSEADOO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-497-9794",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2026; 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.