Psychological Center PC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

PSYCHOLOGICAL CENTER PC

Practice address

505 S Independence Blvd
Suite 207
Virginia Beach, VA 23452-1150

Phone

(757) 490-3880

Fax

(757) 497-4197

NPI assigned

Dec 19, 2006

Organization subpart

No

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

Authorized official

Name

Richard J Shea, PHD

Title

Owner President

Phone

(757) 490-3880

Specialties & licenses 3

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Patricia Umlauf Dawson, LCSW

  • Group Psychotherapy Psychologist
  • Accomac, VA
  • NPI 1770786790
  NPD (past)

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291680000000",
    "number": "1477616597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2038",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234502038",
            "telephone_number": "757-490-3880",
            "fax_number": "757-497-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S INDEPENDENCE BLVD",
            "address_2": "SUITE 207",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234521150",
            "telephone_number": "757-490-3880",
            "fax_number": "757-497-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOLOGICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2010-12-07",
        "status": "A",
        "authorized_official_last_name": "SHEA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "757-490-3880",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HLTH NTWK",
            "identifier": "344452",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAV",
            "identifier": "277036000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4490925",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Dukane Pryor, IDC
• Jessica Pryt, OTD, OTR/L
• Psychiatric Consultants of Hampton Roads
• Psychiatric Consultants of Hampton Roads
• Psychiatric Services, P.C.
• Psychological Consulting Resources, PLLC
• Psychological Counseling Associates, LLC
• Yongbing Larry Pu, MD
• Publix North Carolina, LP
• Bogdan Puchkov

• 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 Dec 7, 2010; 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.