Providence Consulting and Clinical Services

Primary specialty

PsychologistTaxonomy code 103T00000X

License

0810000366 Issued in VA

Legal business name

PROVIDENCE CONSULTING AND CLINICAL SERVICES

Practice address

1000 Regent University Dr
CRB 161
Virginia Beach, VA 23464-5037

Phone

(757) 348-8680

NPI assigned

Sep 14, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Mark A Yarhouse, PSY.D.

Title

President

Phone

(757) 348-8680

Specialties & licenses 1

Addresses

Practitioners 1

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

• Jennifer Sulouff Ripley, PH.D.

  • Psychologist
  • Virginia Beach, VA
  • NPI 1417964701
  NPD (past)

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252886400000",
    "number": "1396078069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 BLUE KNOB RD",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234647435",
            "telephone_number": "757-348-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 REGENT UNIVERSITY DR",
            "address_2": "CRB 161",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234645037",
            "telephone_number": "757-348-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE CONSULTING AND CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A",
        "authorized_official_last_name": "YARHOUSE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-348-8680",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "VA",
            "license": "0810000366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Promethean Group
• Promise & Purpose Development Group, LLC
• Promise & Purpose Home Care, LLC
• Prosperity Health Transportation LLC
• Protect Your Peace Psychiatry, PLLC
• Provider Health Home Care Services
• Aaron Samuel Provisor, M.D.
• Rebecca Provost, LPC
• Merrilyn Peterson Prucha, RDH
• Courtney Prunty

• Psychologist in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Psychologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.