Individual provider Active NPI

Sayward McCullough, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1275158792
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024177419 Issued in VA
Practice address
400 N Center Dr Ste 100
Norfolk, VA 23502-0002
Phone
(757) 908-3754
Fax
(757) 767-7783
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024177419 VA Primary

Addresses

Primary practice location

400 N Center Dr Ste 100
Norfolk, VA 23502-0002

Mailing address

400 N Center Dr Ste 100
Norfolk, VA 23502-0002
Phone (757) 908-3754

Other practice location 1

4509 Whitechapel Dr
Virginia Beach, VA 23455-6447
Phone (757) 460-4655

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210611002727 VA Practitioner - Nurse Practitioner 3577963545 Reassigns benefits to 1 organization
Practice locations: Virginia Beach, VA

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southeast Virginia Psychiatry PLLCGroup PAC ID 2961944988, 13 clinicians

Practice addresses (Care Compare)

400 N Ctr Dr
Suite 201
Norfolk, VA 23502-0003
Phone (757) 663-3662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Virginia Psychiatry PLLC Psychiatric/Mental Health CurrentSince Mar 30, 2025 Accepting new patients
Unvaled Psychological PLLC PastSince Apr 1, 2021 Accepting new patients

Locations

400 N Center Dr
Ste 201
Norfolk, VA 23502
Phone (757) 663-3662

400 N Center Dr
Ste 100
Norfolk, VA 23502
Phone (757) 908-3754

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1275158792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 N CENTER DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020002",
            "telephone_number": "757-908-3754",
            "fax_number": "757-767-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 N CENTER DR STE 100",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235020002",
            "telephone_number": "757-908-3754",
            "fax_number": "757-767-7783"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Whitechapel Dr",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234556447",
            "country_code": "US",
            "telephone_number": "757-460-4655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "SAYWARD",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024177419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.