NPIMap

Organization Active NPI

Unity Outreach Ministries of America, Inc

  • Clinical Psychologist
  • Portsmouth, VA
National Provider Identifier
1457715476
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810001748 Issued in VA
Legal business name
UNITY OUTREACH MINISTRIES OF AMERICA, INC
Practice address
1128 London Blvd
Portsmouth, VA 23704-2246
Phone
(757) 399-0418
Fax
(757) 393-1059
NPI assigned
Apr 6, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

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

Authorized official

Name
Dr. Earle Williams, PSYD
Title
Clinical Director
Phone
(757) 393-1182

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810001748 VA Primary

Addresses

Primary practice location

1128 London Blvd
Portsmouth, VA 23704-2246

Mailing address

1122 London Blvd
Portsmouth, VA 23704-2246
Phone (757) 393-1182

Other names 1

  • New Vision Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Magnolia Angels2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1128 London Blvd
Portsmouth, VA 23704
Phone (757) 399-0418

NPI Registry JSON

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

{
    "created_epoch": "1459900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459900800000",
    "number": "1457715476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042246",
            "telephone_number": "757-393-1182",
            "fax_number": "757-393-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 LONDON BLVD",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237042246",
            "telephone_number": "757-399-0418",
            "fax_number": "757-393-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITY OUTREACH MINISTRIES OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-06",
        "last_updated": "2016-04-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "EARLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "757-393-1182",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810001748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Portsmouth, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; 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.