Clinical Associates of Tidewater, P.C.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

CLINICAL ASSOCIATES OF TIDEWATER, P.C.

Practice address

6320 N Center Dr
Suite 101
Norfolk, VA 23502-4009

Phone

(757) 456-0505

Fax

(757) 456-0817

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Rebecca Dean Reid, LCSW

Title

President

Phone

(757) 456-0505

Specialties & licenses 2

Addresses

Other identifiers 11

Locations

Practitioners 10

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

• Jody C. Foley, LCSW

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1245566009
  NPD (past)
• Carolyn H Johnson, PSY D

  • Psychologist
  • Virginia Beach, VA
  • NPI 1568565174
  NPD (past)
• Joan Kahn, LCSW

  • Clinical Social Worker
  • Henrico, VA
  • NPI 1609054311
  NPD (past)
• Jeffrey Katz, PHD

  • Psychologist
  • Norfolk, VA
  • NPI 1598807745
  NPD (past)
• Nancy C Paschall, PH.D.

  • Clinical Psychologist
  • Virginia Beach, VA
  • NPI 1902948094
  NPD (past)
• Robert P. Pitsenbarger, MD

  • Psychiatry Physician
  • Chesapeake, VA
  • NPI 1063590172
  NPD (past)
• David William Reid, MD

  • Psychiatry Physician
  • VA Beach, VA
  • NPI 1467597518
  NPD (past)
• Debra L. Welpe, LCSW

  • Clinical Social Worker
  • Virginia Beach, VA
  • NPI 1104874965
  NPD (past)
• Mark Yarhouse, PSYD

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1922140029
  NPD (past)
• James A. Zell, L.C.S.W.

  • Clinical Social Worker
  • Norfolk, VA
  • NPI 1215917315
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280707200000",
    "number": "1124060314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6320 N CENTER DR",
            "address_2": "SUITE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024009",
            "telephone_number": "757-456-0505",
            "fax_number": "757-456-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6320 N CENTER DR",
            "address_2": "SUITE 101",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235024009",
            "telephone_number": "757-456-0505",
            "fax_number": "757-456-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL ASSOCIATES OF TIDEWATER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-08-02",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-456-0505",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8917124",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6717951",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7704241",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7730667",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARK YARHOUSE-ANTHEM",
            "identifier": "216460",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NANCY PASCHALL-ANTHEM",
            "identifier": "72705",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7702451",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7761775",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRANK AIELLO,MD - ANTHEM",
            "identifier": "322713",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REBECCA REID - ANTHEM",
            "identifier": "72702",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAROLYN JOHNSON-ANTHEM",
            "identifier": "93140",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mar Y Louise Clemson, RNCS
• Lynn Cleversley, M.S
• Gregg R Clifford, MD
• Kristyn Marie Clifton, OD
• Joel M Clingenpeel, M.D.
• Clinton Healthcare Services
• Clyrex Marketing Solution
• CMR Group, LLC
• CMRS Home Care Agency LLC
• Co-Elevation,LLC

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2010; 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.