Active NPI
Joshua Desilva, PSY.D.
- Clinical Psychologist
- Williamsburg, VA
National Provider Identifier
1386196970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 0810005563
- Practice address
- 240 Gooch Drive
2ND Floor
Williamsburg, VA 23185 - Phone
- (202) 670-1605
- NPI assigned
- Oct 29, 2016
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 0810005563 | VA | Primary |
Addresses
Primary practice location
240 Gooch Drive
2ND Floor
Williamsburg, VA 23185
Mailing address
6275 E Virginia Beach Blvd Ste 301
Norfolk, VA 23502-2851
Phone (202) 670-1605
Other practice location 1
6275 E Virginia Beach Blvd Ste 301
Norfolk, VA 23502-2851
Phone (202) 670-1605
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mostert Newman and Sowder LLC | Current | Accepting new patients |
Locations
6275 E Virginia Beach Blvd
Ste 301
Norfolk, VA 23502
Phone (757) 961-0606
6275 E Virginia Beach Blvd
Ste 300
Norfolk, VA 23502
Phone (757) 461-1688
Organizations & group practices 1
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.
-
- Counselor
- Norfolk, VA
- NPI 1053966275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594857600000",
"number": "1386196970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6275 E VIRGINIA BEACH BLVD STE 301",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235022851",
"telephone_number": "202-670-1605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 GOOCH DRIVE",
"address_2": "2ND FLOOR",
"city": "WILLIAMSBURG",
"state": "VA",
"postal_code": "23185",
"telephone_number": "202-670-1605"
}
],
"practiceLocations": [
{
"address_1": "6275 E Virginia Beach Blvd Ste 301",
"address_purpose": "LOCATION",
"city": "Norfolk",
"state": "VA",
"postal_code": "235022851",
"country_code": "US",
"telephone_number": "202-670-1605",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESILVA",
"first_name": "JOSHUA",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-10-29",
"last_updated": "2020-07-16",
"certification_date": "2020-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "VA",
"license": "0810005563",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Williamsburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.