Individual provider Active NPI

Paul F Dell, PHD

  • Psychologist
  • Norfolk, VA
National Provider Identifier
1104826635
Registry record updated Sep 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
0810001153 Issued in VA
Practice address
1709 Colley Ave
Suite 312
Norfolk, VA 23517-1675
Phone
(757) 640-0400
Fax
(757) 640-0497
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 0810001153 VA Primary

Addresses

Primary practice location

1709 Colley Ave
Suite 312
Norfolk, VA 23517-1675

Mailing address

1709 Colley Ave
Suite 312
Norfolk, VA 23517-1675
Phone (757) 640-0400

Other identifiers 3

IdentifierTypeStateIssuer
092018OtherVABLUECROSS/BLUESHIELD
240873OtherMAMSI/MDIPA
7746652MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090309000520 VA Practitioner - Clinical Psychologist 8123184645 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Michael S. Weissman, PH.D.,LTDGroup PAC ID 1355314170, 16 clinicians

Practice addresses (Care Compare)

3101 American Legion Rd
Suite 21B
Chesapeake, VA 23321-5699
Phone (757) 483-3404

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
0810001153VAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Michael S. Weissman, PH.D.,LTD CurrentSince Jan 8, 2016 Accepting new patients

Locations

3101 American Legion Rd
Ste 21B
Chesapeake, VA 23321
Phone (757) 483-3404

1709 Colley Ave
Ste 310
Norfolk, VA 23517

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222128000000",
    "number": "1104826635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 COLLEY AVE",
            "address_2": "SUITE 312",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171675",
            "telephone_number": "757-640-0400",
            "fax_number": "757-640-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 COLLEY AVE",
            "address_2": "SUITE 312",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235171675",
            "telephone_number": "757-640-0400",
            "fax_number": "757-640-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL",
        "first_name": "PAUL",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2008-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810001153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "092018",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI/MDIPA",
            "identifier": "240873",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7746652",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.