Active NPI
Maria Regina Cenzon, MD
- Psychiatry Physician
- Virginia Beach, VA
National Provider Identifier
1104995778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 0101056738
- Practice address
- 2580 Potters Road
Virginia Beach, VA 23454-4324 - Phone
- (757) 498-9391
- Fax
- (757) 498-7073
- NPI assigned
- Nov 7, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101056738 | VA | Primary |
Addresses
Primary practice location
2580 Potters Road
Virginia Beach, VA 23454-4324
Mailing address
3143 Magic Hollow Blvd Ste 200
Virginia Beach, VA 23453-3077
Phone (757) 385-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562472 | Medicaid | VA |
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: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101056738 | VA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Virginia Beach | Current | Accepting new patients | |
| City of Virginia Beach | Current | Accepting new patients |
Locations
3432 Virginia Beach Blvd
Virginia Beach, VA 23452
Phone (757) 385-0684
297 Independence Blvd
Ste 208
Virginia Beach, VA 23462
Phone (757) 437-5760
3143 Magic Hollow Blvd
Ste 200
Virginia Beach, VA 23453
Phone (757) 219-2133
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/9229a1fd-2cd1-41dc-9da8-258046291286/
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Virginia Beach, VA
- NPI 1861562472
-
- Ambulance
- Virginia Beach, VA
- NPI 1013704246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1104995778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3143 MAGIC HOLLOW BLVD STE 200",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234533077",
"telephone_number": "757-385-8222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2580 POTTERS ROAD",
"city": "VIRGINIA BEACH",
"state": "VA",
"postal_code": "234544324",
"telephone_number": "757-498-9391",
"fax_number": "757-498-7073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CENZON",
"first_name": "MARIA",
"middle_name": "REGINA",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-07",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "VA",
"license": "0101056738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861562472",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
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 Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.