Organization Active NPI

Markham Psychological and Deaf Services, LLC

  • Clinical Psychologist
  • Virginia Beach, VA
National Provider Identifier
1497400220
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
MARKHAM PSYCHOLOGICAL AND DEAF SERVICES, LLC
Practice address
4445 Corporation LN Ste 169
Virginia Beach, VA 23462-3262
Phone
(757) 646-1246
NPI assigned
Feb 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Heidi M Jarvis
Title
Credentialing Specialist
Phone
(757) 477-7861

Specialties & licenses 1

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

Addresses

Primary practice location

4445 Corporation LN Ste 169
Virginia Beach, VA 23462-3262

Mailing address

4445 Corporation LN Ste 169
Virginia Beach, VA 23462-3262

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Doxy.com Direct

National Provider Directory

National Provider Directory

Locations

4445 Corporation Ln
Ste 169
Virginia Beach, VA 23462
Phone (757) 646-1246

NPI Registry JSON

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

{
    "created_epoch": "1645401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1497400220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 169",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 CORPORATION LN STE 169",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234623262",
            "telephone_number": "757-646-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKHAM PSYCHOLOGICAL AND DEAF SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-21",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "757-477-7861"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Doxy.com",
            "affiliation": "N",
            "endpointDescription": "doxy.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4445 Corporation Ln Ste 169",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234623262",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; 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.