NPIMap

Individual provider Active NPI

Federico Vizcaino, MD

  • Psychiatry Physician
  • Portsmouth, VA
National Provider Identifier
1295729309
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
0101031051 Issued in VA
Practice address
3300 Academy Ave
Portsmouth, VA 23703-3205
Phone
(757) 483-6404
Fax
(757) 483-0737
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101031051 VA Primary

Addresses

Primary practice location

3300 Academy Ave
Portsmouth, VA 23703-3205

Mailing address

3300 Academy Ave
Portsmouth, VA 23703-3205
Phone (757) 483-6404

Other identifiers 2

IdentifierTypeStateIssuer
027835OtherVAANTHEM
080712OtherVASENTARA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100623000070 VA Practitioner - Psychiatry 4981768751 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bon Secours Medical Group Hampton Roads Specialty Care LLCGroup PAC ID 3173955671, 197 clinicians
City of PortsmouthGroup PAC ID 9032173877, 9 clinicians
Churchland Psychiatric Associates PCGroup PAC ID 5799776654, 17 clinicians

Practice addresses (Care Compare)

150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673

1811 King St
Portsmouth, VA 23704-3032
Phone 75739354048064

3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222

4041 Taylor Rd
Suite G
Chesapeake, VA 23321-5525
Phone (757) 483-6404

Hospital & facility affiliations

  • Bon Secours Maryview Medical Center Hospital, Portsmouth, VA, CCN 490017

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101031051VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Churchland Psychiatric Associates PC Psychiatry CurrentSince May 12, 1987 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC Psychiatry CurrentSince Jan 1, 2020 Accepting new patients
Bon Secours Medical Group Hampton Roads Specialty Care LLC CurrentSince Jan 1, 2020 Accepting new patients
Riverside Physician Services Inc Psychiatry Past Accepting new patients

Locations

4041 Taylor Rd
Ste G
Chesapeake, VA 23321
Phone (757) 483-6404

150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944

155 Kingsley Ln
Ste 150
Norfolk, VA 23505
Phone (757) 278-2350

3636 High St
Portsmouth, VA 23707
Phone (757) 398-2200

3300 Academy Ave
Portsmouth, VA 23703
Phone (757) 483-6404

8580 Magellan Pkwy
Richmond, VA 23227
Phone (804) 627-5462

Interoperability endpoints

  • Direct secure messaging: federicovizcaino@cpai.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1295729309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 ACADEMY AVE",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237033205",
            "telephone_number": "757-483-6404",
            "fax_number": "757-483-0737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIZCAINO",
        "first_name": "FEDERICO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101031051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "027835",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "080712",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.