NPIMap

Organization Active NPI

Coastal Medical and Psychiatric Services Inc.

  • Psychiatry Physician
  • Newport News, VA
National Provider Identifier
1134460132
Registry record updated May 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
COASTAL MEDICAL AND PSYCHIATRIC SERVICES INC.
Practice address
825 Diligence Dr Ste 100
Newport News, VA 23606-4271
Phone
(757) 310-6900
Fax
(757) 240-5936
NPI assigned
Mar 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2026

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

Authorized official

Name
Jessica Adams, NPNPI 1841484060
Title
Owner/Manager
Phone
(757) 223-7098

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
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

825 Diligence Dr Ste 100
Newport News, VA 23606-4271

Mailing address

825 Diligence Dr Ste 100
Newport News, VA 23606-4271
Phone (757) 310-6900

Other identifiers 1

IdentifierTypeStateIssuer
1134460132MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150124000030 VA Part B Supplier - Clinic/Group Practice 4183948060 Receives reassigned benefits from 28 practitioners
Practice locations: Newport News, VA

National Provider Directory

National Provider Directory

Locations

825 Diligence Dr
Ste 100
Newport News, VA 23606
Phone (757) 310-6900

825 Diligence Dr
Ste 206
Newport News, VA 23606
Phone (757) 310-6900

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778112000000",
    "number": "1134460132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 DILIGENCE DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064271",
            "telephone_number": "757-310-6900",
            "fax_number": "757-240-5936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 DILIGENCE DR STE 100",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236064271",
            "telephone_number": "757-310-6900",
            "fax_number": "757-240-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL MEDICAL AND PSYCHIATRIC SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2026-05-07",
        "certification_date": "2026-05-07",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "757-223-7098",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134460132",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.