NPIMap

Organization Active NPI

Chesapeake Psychological Associates, LLC

  • Clinical Psychologist
  • Chesapeake, VA
National Provider Identifier
1487884102
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
0810002751 Issued in VA
Legal business name
CHESAPEAKE PSYCHOLOGICAL ASSOCIATES, LLC
Practice address
1435 Crossways Blvd
Suite 104
Chesapeake, VA 23320-2896
Phone
(757) 410-0072
NPI assigned
Jul 15, 2009
Last updated
Jul 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Dr. Randy Alan Rhoad, PSY.D.NPI 1942375977
Title
Clinical Psychologist
Phone
(757) 749-7809

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X 0810002751 VA Primary

Addresses

Primary practice location

1435 Crossways Blvd
Suite 104
Chesapeake, VA 23320-2896

Mailing address

1435 Crossways Blvd
Suite 104
Chesapeake, VA 23320-2896
Phone (757) 410-0072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091021000800 VA Part B Supplier - Clinic/Group Practice 8022155100 Receives reassigned benefits from 6 practitioners
Practice locations: Chesapeake, VA

National Provider Directory

National Provider Directory

Locations

1435 Crossways Blvd
Ste 104
Chesapeake, VA 23320
Phone (757) 410-0072

1435 Crossways Blvd
Ste 109
Chesapeake, VA 23320
Phone (757) 410-0072

640 Independence Pkwy
Ste 100
Chesapeake, VA 23320
Phone (757) 420-0530

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24900/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1487884102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1435 CROSSWAYS BLVD",
            "address_2": "SUITE 104",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202896",
            "telephone_number": "757-410-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1435 CROSSWAYS BLVD",
            "address_2": "SUITE 104",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233202896",
            "telephone_number": "757-410-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE PSYCHOLOGICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "RHOAD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "ALAN",
        "authorized_official_title_or_position": "CLINICAL PSYCHOLOGIST",
        "authorized_official_telephone_number": "757-749-7809",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "VA",
            "license": "0810002751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.