Organization Active NPI

Beacon of Hope Psychological Services, LLC

  • Clinical Psychologist
  • Williamsburg, VA
National Provider Identifier
1245815943
Registry record updated Mar 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
BEACON OF HOPE PSYCHOLOGICAL SERVICES, LLC
Practice address
202 Packets CT Ste a
Williamsburg, VA 23185-5862
Phone
(757) 659-6459
NPI assigned
Mar 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2021

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

Authorized official

Name
Dr. Amber Kuszak, PSY.D., LCPNPI 1376831081
Title
Founder
Phone
(254) 368-0468

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
Clinical PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103TC0700X Primary

Addresses

Primary practice location

202 Packets CT Ste a
Williamsburg, VA 23185-5862

Mailing address

202 Packets CT Ste a
Williamsburg, VA 23185-5862
Phone (757) 659-6459

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615680000000",
    "number": "1245815943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 PACKETS CT STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855862",
            "telephone_number": "757-659-6459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 PACKETS CT STE A",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231855862",
            "telephone_number": "757-659-6459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON OF HOPE PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-14",
        "last_updated": "2021-03-14",
        "certification_date": "2020-12-10",
        "status": "A",
        "authorized_official_last_name": "KUSZAK",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "254-368-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D., LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; 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.