Organization Active NPI

City of Norfolk

Doing business as Norfolk Community Services Board

  • Psychiatry Physician
  • Norfolk, VA
National Provider Identifier
1306800198
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
24107004 Issued in VA
Legal business name
CITY OF NORFOLK
Doing business as
Norfolk Community Services Board
Practice address
7447 Central Business Park Dr
Norfolk, VA 23513-2867
Phone
(757) 756-5600
NPI assigned
Apr 17, 2006
Last updated
Sep 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Dr. Nathan Woodard, PHD
Title
Executive Director
Phone
(757) 756-5600

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 24107004 VA
Clinical Neuropsychologist 103G00000X NU
Clinical Social Worker 1041C0700X 24107004 VA
Marriage & Family Therapist 106H00000X 24107004 VA
Case Management Registered Nurse 163WC0400X NU
Home Modifications Contractor 171WH0202X NU
Psychiatry Physician 2084P0800X 24107004 VA Primary
Assistive Technology Practitioner Rehabilitation Counselor 225CA2400X NU
Assistive Technology Supplier Rehabilitation Counselor 225CA2500X NU
Case Management Agency 251B00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X 241-01-001 VA
Early Intervention Provider Agency 252Y00000X 24107004 VA
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

7447 Central Business Park Dr
Norfolk, VA 23513-2867

Mailing address

7447 Central Business Park Dr
Norfolk, VA 23513-2867
Phone (757) 756-5600

Other identifiers 1

IdentifierTypeStateIssuer
4945565MedicaidVA

Other names 1

  • Norfolk Community Services Board Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC3 enrollments
Opioid treatment program
Medicare-enrolled since Jan 20, 2020

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20140303001143 VA Part B Supplier - Clinic/Group Practice 8325001951 Receives reassigned benefits from 31 practitioners
Practice locations: Norfolk, VA
O20190221000299 DC Part B Supplier - Clinic/Group Practice 8325001951 Receives reassigned benefits from 1 practitioner
Practice locations: Rockville, MD
O20200601001549 VA Part B Supplier - Opioid Treatment Program (Otp) 8325001951 Practice locations: Norfolk, VA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

101 W 35th St
Norfolk, VA 23504
Phone (757) 441-2042

7447 Central Business Park Dr
#B
Norfolk, VA 23513
Phone (757) 756-5600

7464 Tidewater Dr
#C
Norfolk, VA 23505
Phone (757) 664-7690

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 56

NPI Registry JSON

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

{
    "created_epoch": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1306800198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132867",
            "telephone_number": "757-756-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 CENTRAL BUSINESS PARK DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235132867",
            "telephone_number": "757-756-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF NORFOLK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "WOODARD",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "757-756-5600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "24107004",
            "primary": true
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225CA2500X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "VA",
            "license": "241-01-001",
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "VA",
            "license": "24107004",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4945565",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Norfolk Community Services Board",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Norfolk Community Services Board",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.