Kevin Alexander Waymire, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

0810007473 Issued in VA

Practice address

1500 E Little Creek Rd
Ste 205
Norfolk, VA 23518-4137

Phone

(757) 587-4744

NPI assigned

Jun 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

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.

• Tricoastal Psychological Services, LLC

  • Clinical Psychologist
  • Norfolk, VA
  • NPI 1275316424
  NPD Authorized official

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

{
    "created_epoch": "1623196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623196800000",
    "number": "1346817103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK RD STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184137",
            "telephone_number": "757-587-4744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E LITTLE CREEK RD",
            "address_2": "STE 205",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184137",
            "telephone_number": "757-587-4744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAYMIRE",
        "first_name": "KEVIN",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-09",
        "last_updated": "2021-06-09",
        "certification_date": "2021-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810007473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Watson Jr., DDS
• Katherine Davis Watson, M.D.
• Kirk Watson, HS
• Morgan Nicole Watson, DO
• Sherrie P Watson, LPC
• We All One LLC
• We All One LLC
• We Care 2 Transport, LLC
• Akisha Rochelle Weathers
• Francesca Weathers

• Clinical Psychologist in Norfolk, VA
• Providers in Norfolk, VA by specialty
• Clinical Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.