Coastal Virginia Psychological Associates

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810005191 Issued in VA

Legal business name

COASTAL VIRGINIA PSYCHOLOGICAL ASSOCIATES

Practice address

780 Lynnhaven Pkwy
Suite 340
Virginia Beach, VA 23452-7332

Phone

(757) 498-9585

NPI assigned

May 19, 2015

Organization subpart

No

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

Authorized official

Name

Errol Liebowitz, PH.D.

Title

Owner

Phone

(757) 498-9585

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1431993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431993600000",
    "number": "1164801510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY",
            "address_2": "SUITE 340",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 LYNNHAVEN PKWY",
            "address_2": "SUITE 340",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234527332",
            "telephone_number": "757-498-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL VIRGINIA PSYCHOLOGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-19",
        "last_updated": "2015-05-19",
        "status": "A",
        "authorized_official_last_name": "LIEBOWITZ",
        "authorized_official_first_name": "ERROL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-498-9585",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810005191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2015; 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.