Genesis Psychological Services, LLC

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810004002 Issued in VA

Legal business name

GENESIS PSYCHOLOGICAL SERVICES, LLC

Practice address

142 W York St
Suite 718
Norfolk, VA 23510-2015

Phone

(757) 626-0032

Fax

(757) 626-0019

NPI assigned

Mar 26, 2010

Organization subpart

No

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

Authorized official

Name

Tasha Simmons, PSY.D.

Title

Clinical Director

Phone

(757) 626-0332

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1269561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1184948655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 W YORK ST",
            "address_2": "SUITE 718",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102015",
            "telephone_number": "757-626-0032",
            "fax_number": "757-626-0019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "142 W YORK ST",
            "address_2": "SUITE 718",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235102015",
            "telephone_number": "757-626-0032",
            "fax_number": "757-626-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENESIS PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-26",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-626-0332",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810004002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marika Gelashvili, MD
• Mark Alan Gellasch, PHYSICIAN ASSISTANT
• David M Geller
• Serendy Genao Ramirez
• Genesis Caring Companions
• Genesis Total Care LLC
• Genesys Home Health Care, Inc.
• Genesys Pediatric Home Care, LLC
• Gentle Touch Home Health Care
• Philip John Gentlesk, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.