Paladin Behavioral and Forensic Services

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PALADIN BEHAVIORAL AND FORENSIC SERVICES

Practice address

933 First Colonial Rd
Suite 203
Virginia Beach, VA 23454-3172

Phone

(757) 288-9907

Fax

(757) 321-6269

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

James P Polk, PSYD LCPNPI 1831117837

Title

Owner

Phone

(757) 288-9907

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James P Polk, PSYD LCP

  • Clinical Psychologist
  • Arlington, VA
  • NPI 1831117837
  NPD (past) Authorized official
• Anne Barrett Nicholson, LCSW

  • Clinical Social Worker
  • Newport News, VA
  • NPI 1669484994
  NPD (past)

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1376699249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13296",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233250296",
            "telephone_number": "757-714-1838",
            "fax_number": "757-321-6269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "SUITE 203",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-288-9907",
            "fax_number": "757-321-6269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALADIN BEHAVIORAL AND FORENSIC SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "POLK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "757-288-9907",
        "authorized_official_credential": "PSYD LCP"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Matthew Painter
• Wyketa Denise Painter
• Pal Systems Inc
• Joginder Pal, MD
• Kaytren Martin Palacios, RPH
• Aabir Palamino
• Govindan K Palat, M.D.
• Lori Palcic
• Jill Loree Palmer, LPC
• Tracey Palmer

• Clinical Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, 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 3, 2008; 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.