Pivot Psychotherapy, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PIVOT PSYCHOTHERAPY, LLC

Practice address

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218

Phone

(757) 524-1299

NPI assigned

Aug 27, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Cameron Terrel Ross

Title

Ceo

Phone

(757) 524-1299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1535328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535328000000",
    "number": "1235610254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "757-524-1299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "757-524-1299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PIVOT PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-27",
        "last_updated": "2018-08-27",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CAMERON",
        "authorized_official_middle_name": "TERREL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-524-1299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Chesapeake, VA
• Providers in Chesapeake, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2018; 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.