Active NPI
Stephen Gerard Virginia, PH.D.
- Psychologist
- Portsmouth, OH
National Provider Identifier
1306329248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 5632
- Practice address
- 1020 27TH St
Portsmouth, OH 45662-2513 - Phone
- (740) 529-1369
- NPI assigned
- Sep 6, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 5632 | OH | Primary |
Addresses
Primary practice location
1020 27TH St
Portsmouth, OH 45662-2513
Mailing address
1020 27TH St
Portsmouth, OH 45662-2513
Phone (740) 529-1369
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5632 | Other | OH | PSYCHOLOGIST |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5632 | OH | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536192000000",
"number": "1306329248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622513",
"telephone_number": "740-529-1369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 27TH ST",
"city": "PORTSMOUTH",
"state": "OH",
"postal_code": "456622513",
"telephone_number": "740-529-1369"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIRGINIA",
"first_name": "STEPHEN",
"middle_name": "GERARD",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-09-06",
"last_updated": "2018-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "5632",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PSYCHOLOGIST",
"identifier": "5632",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.